| NPI | 1649861204 | 
|---|---|
| Doing Business As | HOLISTIC EDIBLE PROVISIONS | 
| Entity Type | Organization | 
| Authorized Contact | GRACIE SANCHEZ Owner 214-945-3757 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered | 
| Enumeration Date | 2021-01-27 | 
| Last Update Date | 2024-07-24 |