| NPI | 1962445619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DUNAWAY Owner/Operator 702-382-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-03-21 |