Organization
BIG HORN NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENIKA LEIGH EARDLEY RDN (OWNER)
(307) 679-4639
Entity
Organization
Contact information
Practice address
1351 N 8TH ST, GREYBULL, WY 82426-1504
(307) 679-4639
Mailing address
1351 N 8TH ST, GREYBULL, WY 82426-1504
(307) 679-4639
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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