Neogenesis Nutrition INC
NPI #1861191868 in University Place, Washington
Provider Information
- NPI Number
- 1861191868
- Entity Type
- Organization
- Organization Name
- Neogenesis Nutrition INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Feb 28, 2023
- Last Updated
- Nov 5, 2025
Practice Location
- Address
- 7018 59TH STREET CT W
- City
- University Place
- State
- Washington
- ZIP Code
- 98467-2172
- Phone
- (253) 507-5775
Authorized Official
- Name
- DR. JENNIFER CHAMPION, DCN, MS, CNS, CN, LD
- Title
- OWNER
- Phone
- (253) 507-5775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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