Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
261QH0100X |
| NPI Number | 1346076221 |
| LBN Legal business name | NUTRICENTER LLC |
| Authorized official | ALEC POPPENWIMER - (FUNCTIONAL NUTRITIONIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/09/2024 |
| Last updated | 09/09/2024 - More than a year ago |
| Identifiers | n/a |
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