| NPI | 1942907928 |
|---|---|
| Doing Business As | HEALTHY SPROUTS |
| Entity Type | Organization |
| Authorized Contact | SUSAN W JEANSONNE CEO/Cmo 423-863-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |