NPI | 1083010581 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE KUGLER ASCHIDAMINI Registered Dietitian 727-688-9584 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA RDN Reg. #1093633) |
Enumeration Date | 2014-11-10 |
Last Update Date | 2014-11-12 |