| NPI | 1386990935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA DAWN MONTGOMERY Owner 623-256-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 925937) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |