| NPI | 1295118214 |
|---|---|
| Doing Business As | ABUNDANT LIFE |
| Entity Type | Organization |
| Authorized Contact | IDA PEARL CONNORS Provider 702-254-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV 506) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |