NPI | 1235577768 |
---|---|
Doing Business As | MIRAMONT LIFESTYLE FITNESS |
Entity Type | Organization |
Authorized Contact | BROOKE ELIZABETH FLOERKE Registered Dietitian 806-786-9290 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX 1040780) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2013-06-06 |