| NPI | 1083207971 |
|---|---|
| Other Name | RADIANT NUTRITION |
| Entity Type | Organization |
| Authorized Contact | PEGGY PRATT Sole Member 865-585-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-03-27 |