| NPI | 1932082344 |
|---|---|
| Other Name | FUNCTIONAL NUTRITION & WELLNES |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN PAUL Owner 920-286-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |