| NPI | 1841632866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAZUROWSKI Owner 702-580-9742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NV NV20131346778) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2017-03-22 |