| NPI | 1043693641 |
|---|---|
| Other Name | ROCKET NUTRITION |
| Entity Type | Organization |
| Authorized Contact | REIKO SUDDUTH Principal 774-768-0531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI60569923) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |