| NPI | 1740846807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA BREANNE PULLEN Registered Dietitian Nutritionist 907-854-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2024-11-20 |