Sacred Table LLC
NPI #1306717319 in Youngstown, Ohio
Provider Information
- NPI Number
- 1306717319
- Entity Type
- Organization
- Organization Name
- Sacred Table LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Sep 15, 2025
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 2512 FROSTWOOD DR
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44515-5144
- Phone
- (330) 402-7147
Authorized Official
- Name
- ALEXIS WEBER, RD, LD, LDN
- Title
- OWNER
- Phone
- (330) 402-7147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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