TRANSFORM DIET AND WELLNESS CENTER, LLC

PEWAUKEE, WI
NPI1811249758
Entity TypeOrganization
Authorized ContactAMELIA TOLLEFSON
Nurse Practioner
262-746-9088
Organization Subpart ?Yes
Primary Taxonomy132700000X Dietary Manager
Enumeration Date2012-10-02
Last Update Date2012-10-02
Business Address
TRANSFORM DIET AND WELLNESS CENTER, LLC
1231 GEORGE TOWNE DR STE B
PEWAUKEE, WI 53072-2757
Phone number: 262-746-9088
Mailing Address
TRANSFORM DIET AND WELLNESS CENTER, LLC
1231 GEORGE TOWNE DR STE B
PEWAUKEE, WI 53072-2757
Phone number: 262-746-9088