| NPI | 1285111690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA MANWILL Co Owner, Dietitian 385-329-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133VN1006X Dietitian, Registered Nutrition, Metabolic | |
| 174H00000X Health Educator | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-09-02 |