Organization
TREASURE STATE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WOLFE RDN, LN (OWNER)
(425) 445-5262
Entity
Organization
Contact information
Practice address
702 N KENDRICK AVE, GLENDIVE, MT 59330-1817
(425) 445-5262
Mailing address
702 N KENDRICK AVE, GLENDIVE, MT 59330-1817
(425) 445-5262
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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