NPI 1235360033

Pioneer Totaltrade Medical Alarm Medical Nutrition Therapy Systems, Ll

Organisation Nutritionist Omaha, NE

Practice location

Address: 2505 N 24th St STE 310, Omaha, NE 68110-2252
Phone: (402) 403-5700
Fax: (888) 550-3609

Authorised official

Name: Raphael Adams Ovonlen
Title: Ceo
Phone: (402) 403-5700

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 752 (NE)

Other Nutritionist providers in Nebraska →

Registry record

NPI: 1235360033
Entity type: Organization
NPI issued: 29 Jul 2009
Record last updated: 29 Jul 2009

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.