| NPI | 1740601434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA STEVENSON Registered Dietitian 402-384-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NE 1109) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1097898) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2023-10-04 |