| NPI | 1588263404 |
|---|---|
| Former Legal Business Name | MEDICAL NUTRITION THERAPY CONSULTING LLC |
| Entity Type | Organization |
| Authorized Contact | WASHINGTON, AISHA L Registered Dietitian Nutritionist 816-572-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-12-28 |