| NPI | 1902344583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMNADA SALOPEK Dietitian/Owner 575-642-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NM LD0928) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |