Organization
NUTRIMENTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEE BRAZELTON RD (OWNER)
(608) 397-4612
Entity
Organization
Contact information
Practice address
630 S GREEN BAY RD, NEENAH, WI 54956-3190
(920) 350-4098
(844) 848-8201
Mailing address
630 S GREEN BAY RD, NEENAH, WI 54956-3190
(920) 350-4098
(844) 848-8201
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
03/14/2025
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