| Nutrition Therapy New Mexico Llc | |
|
2185 44th St, Ste D, Los Alamos, NM 87544-1750 | |
| (505) 412-5983 | |
| Not Available |
| Full Name | Nutrition Therapy New Mexico Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2185 44th St, Los Alamos, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710380910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-0659 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Therapy New Mexico Llc 2185 44th St, Ste D, Los Alamos, NM 87544-1750 Ph: (505) 412-5983 | Nutrition Therapy New Mexico Llc 2185 44th St, Ste D, Los Alamos, NM 87544-1750 Ph: (505) 412-5983 |
Mrs. Sara Pocernik, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1450 Iris Street, Los Alamos, NM 87544 Phone: 505-662-3100 | |
Jordan A Lichthardt, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd Ste A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8916 | |
Mrs. Samia Sibley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2025 E Jemez Rd, #120, Los Alamos, NM 87544 Phone: 505-890-6791 |