| NPI | 1609576727 |
|---|---|
| Doing Business As | ELEMENTARY NUTRITION |
| Entity Type | Organization |
| Authorized Contact | LISA NORMAN Owner 623-363-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |