| NPI | 1851146427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI L COCROFT Clinical Services COO Rdinator 520-724-7742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |