Organization Name: | EL CON HEALTH & WELLNESS CENTER LLC |
NPI Number: | 1255714010 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MENA LATKAS (OWNER) |
Mailing Address: | 3402 E Broadway Blvd Tucson |
State: | AZ US |
Postal Code: | 857165406 |
Phone Number: | 5203185515 |
Fax Number: | 5203185518 |
NPI Enumeration Date: | 06/29/2015 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86009009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |