| NPI | 1356790158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRI PENDERGRASS Physician 520-626-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: AZ 942958258) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |