NPI | 1245062447 |
---|---|
Former Legal Business Name | SUMMIT NUTRITION, LLC |
Entity Type | Organization |
Authorized Contact | ECHO HEIMAN Owner 208-425-1882 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
Enumeration Date | 2024-08-15 |
Last Update Date | 2024-08-15 |