| NPI | 1538892195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEN ELLINGSEN Registered Dietitian Nutritionist 702-493-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-25 |