| NPI | 1639536410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE CIRA Owner 303-880-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |