Organization
BGB NUTRITION INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIANA GILBREATH BUTLER (OWNER)
(832) 724-6266
Entity
Organization
Contact information
Practice address
6940 E LYRA DR, SCOTTSDALE, AZ 85257-3369
(832) 724-6266
Mailing address
PO BOX 1360, SCOTTSDALE, AZ 85252-1360
(832) 724-6266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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