NPI | 1053684415 |
---|---|
Entity Type | Organization |
Authorized Contact | JONAH SOOLMAN Registered Dietitian / Co Owner 781-433-0470 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 2760) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2018-10-03 |