| NPI | 1225657703 |
|---|---|
| Doing Business As | PATH NUTRITION |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BARNETT BOEBEL Co Owner 512-750-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |