Wholesome LLC
NPI #1225669070 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1225669070
- Entity Type
- Organization
- Organization Name
- Wholesome LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jan 30, 2020
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 820 THACKERAY TRL
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4375
- Phone
- (414) 339-6125
Authorized Official
- Name
- ALISON TIERNEY
- Title
- RD
- Phone
- (414) 339-6125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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