NPI | 1093927170 |
---|---|
Entity Type | Organization |
Authorized Contact | CECILIA LAIRD DAVIS President 918-749-9077 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 10) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |