Innate Living INC

NPI #1235832098 in Weston, Wisconsin

Provider Information

NPI Number: 1235832098
Entity Type: Organization
Organization Name: Innate Living INC
Primary Specialty: Dietitian, Registered
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 9950 SIBERIAN DR
City: Weston
State: Wisconsin
ZIP Code: 54476-5624
Phone: (715) 218-1734

Authorized Official

Name: MRS. TAYLOR FAYE GOULD, RDN
Title: OWNER
Phone: (715) 218-1734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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