| NPI | 1932568656 |
|---|---|
| Former Legal Business Name | VIVE NUTRITION, INC |
| Entity Type | Organization |
| Authorized Contact | ANDRES EDUARDO AYESTA HERRERA CEO 812-604-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6920) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2024-04-11 |