| NPI | 1558953794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENTL SERRANO Applied Clinical Nutritionist 702-529-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2025-11-25 |