| NPI | 1639795727 |
|---|---|
| Other Name | BAMBOO NUTRITION |
| Entity Type | Organization |
| Authorized Contact | ISABELLE BOUCHARD Owner 573-343-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-01-27 |