NPI 1154141463
Nutrition Therapy
Practice location
- Address
- 2406 E Llano Estacado Blvd APT G, Clovis, NM 88101-3999
- Phone
- (904) 504-5955
- Mailing address
- 2400 E Llano Estacado Blvd APT 2406-G, Clovis, NM 88101-3974
Authorised official
- Name
- Elizabeth Bates
- Title
- Registered Dietitian
- Phone
- (904) 504-5955
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1154141463
- Entity type
- Organization
- NPI issued
- 11 Oct 2024
- Record last updated
- 11 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.