Tailored Nutrition LLC

NPI #1740605088 in Sheridan, Wyoming

Provider Information

NPI Number
1740605088
Entity Type
Organization
Organization Name
Tailored Nutrition LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Feb 24, 2014
Last Updated
Sep 11, 2014

Practice Location

Address
37 S MAIN ST
State
Wyoming
ZIP Code
82801-4221
Phone
(307) 752-8213

Authorized Official

Name
MRS. GEORGIA FLETCHER BOLEY, MS,RD,LD,CSO
Title
REGISTERED DIETITIAN
Phone
(307) 752-8213

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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