| NPI | 1811588015 |
|---|---|
| Former Legal Business Name | REAL NUTRITION BY CRYSTAL PLLC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL M FLORES Owner 907-727-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2023-10-06 |