| NPI | 1841705373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY PAYNE SMITH Owner/Manager 719-237-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 1036238) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-11-01 |