| NPI | 1063274108 |
|---|---|
| Doing Business As | NORTHSTAR NUTRITION |
| Entity Type | Organization |
| Authorized Contact | PAMELA MALO Owner 518-339-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |