NPI | 1932708328 |
---|---|
Entity Type | Organization |
Authorized Contact | VENKATA EVANI President 602-747-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-10-18 |
Last Update Date | 2024-11-15 |