| NPI | 1013273242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ELLEN CONDON Dietitian/Owner 410-487-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2531) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |