Provider Demographics
NPI:1407130073
Name:YOU ARE WHAT YOU EAT LLC
Entity Type:Organization
Organization Name:YOU ARE WHAT YOU EAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:720-935-6934
Mailing Address - Street 1:3825 S. URAVAN ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3422
Mailing Address - Country:US
Mailing Address - Phone:720-935-6934
Mailing Address - Fax:
Practice Address - Street 1:3825 S. URAVAN ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3422
Practice Address - Country:US
Practice Address - Phone:720-935-6934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty