| NPI | 1285259283 |
|---|---|
| Former Legal Business Name | MEGAN LEIGH ENNIS |
| Entity Type | Organization |
| Authorized Contact | MEGAN MCKINLEY Dietitian 916-701-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2025-10-08 |