| NPI | 1912525445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEIGH QUINLAN Owner, Registered Dietitian 505-728-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-05-07 |