Organization
BERRY NUTRITIOUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE LEWIS R.D, L.D (DIRECTOR)
(773) 301-7397
Entity
Organization
Contact information
Practice address
3825 CRAIG CROSSING DR, 2048, NORTH LAS VEGAS, NV 89032-1254
(773) 301-7397
Mailing address
3825 CRAIG CROSSING DR, 2048, NORTH LAS VEGAS, NV 89032-1254
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
33016DI-0
NV
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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