| NPI | 1861161507 |
|---|---|
| Other Name | MALENA PERDOMO |
| Entity Type | Organization |
| Authorized Contact | MALENA E PERDOMO Dietitian 303-915-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |