NPI | 1477085397 |
---|---|
Doing Business As | KENDALL REAGAN NUTRITION CENTER |
Entity Type | Organization |
Authorized Contact | SHELBY COX Director 970-495-5916 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2017-03-30 |
Last Update Date | 2020-01-23 |