NPI | 1013209204 |
---|---|
Entity Type | Organization |
Authorized Contact | RYANN COLLINS Owner, President 978-473-1536 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 3068) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-05-06 |