Nutrition Therapy
NPI #1154141463 in Clovis, New Mexico
Provider Information
- NPI Number
- 1154141463
- Entity Type
- Organization
- Organization Name
- Nutrition Therapy
- Primary Specialty
- Nutritionist
- Enumeration Date
- Oct 11, 2024
- Last Updated
- Oct 11, 2024
Practice Location
- Address
- 2406 E LLANO ESTACADO BLVD APT G
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-3999
- Phone
- (904) 504-5955
Authorized Official
- Name
- ELIZABETH BATES, RD
- Title
- REGISTERED DIETITIAN
- Phone
- (904) 504-5955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
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