| NPI | 1871949784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KREUN Clinical Holistist Nutritionist 602-743-9236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |