| NPI | 1972312999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARANDA STONE Owner 720-507-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |