Michelle's Blue Carott Gp LLC

NPI #1598953911 in Spring, Texas

Provider Information

NPI Number: 1598953911
Entity Type: Organization
Organization Name: Michelle's Blue Carott Gp LLC
Primary Specialty: Dietitian, Registered - Nutrition, Metabolic
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 6419 ALLENTOWN DR
City: Spring
State: Texas
ZIP Code: 77389-3669
Phone: (281) 682-5967

Authorized Official

Name: MRS. MICHELLE PATRICE RIVERA, MS RD CDE LD
Title: OWNER
Phone: (281) 682-5967

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic	133VN1006X	Primary

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