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BERRY NUTRITIOUS

Dietary & Nutritional Service Providers Dietitian, Registered

Provider NPI: 1184066748

Organization Information:
Organization Name:  BERRY NUTRITIOUS
Organization is not Subpart
Authorized Official:  NATALIE  LEWIS  DIRECTOR  773-301-7397

Practice Location:
3825 CRAIG CROSSING DR 2048 NORTH LAS VEGAS, NV 89032-1254 US
Tel: 773-301-7397  Fax: --

Business Mailing Address:
3825 CRAIG CROSSING DR 2048 NORTH LAS VEGAS, NV 89032-1254 US
Tel: --  Fax: --

NPI Information:
NPI: 1184066748
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
NV33016DI-0

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 133V00000X

Type:

Classification:



Definition:



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