| NPI | 1023364981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARY MCCULLOUGH Registered Dietitian 203-641-3574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |