Genesis Nutrition LLC
NPI #1386304962 in Wellington, Colorado
Provider Information
- NPI Number
- 1386304962
- Entity Type
- Organization
- Organization Name
- Genesis Nutrition LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Dec 23, 2021
- Last Updated
- Dec 23, 2021
Practice Location
- Address
- 7717 IVY LANE
- City
- Wellington
- State
- Colorado
- ZIP Code
- 80549
- Phone
- (307) 746-8353
Authorized Official
- Name
- KAITLYN JOHNSON, RD
- Title
- REGISTERED DIETITIAN
- Phone
- (307) 746-8353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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