NPI | 1063911584 |
---|---|
Doing Business As | LIFECYCLE NUTRITION |
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN LEMACKS Owner 850-556-4377 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1640) |
Enumeration Date | 2018-02-10 |
Last Update Date | 2018-02-10 |