NPI | 1033823141 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY LAMAR MORRIS Owner 612-986-9756 |
Organization Subpart ? | No |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Additional Taxonomies | 172A00000X Driver |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-01-12 |