| NPI | 1255020889 |
|---|---|
| Doing Business As | MINDSHIFT NUTRITION & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DAWN DERASMO Dietitian 702-817-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-06-19 |