| NPI | 1215779814 |
|---|---|
| Other Name | TEEN SPORT NUTRITION |
| Entity Type | Organization |
| Authorized Contact | SARAH MCCORMICK Owner, Dietitian 971-313-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |