| NPI | 1104340934 |
|---|---|
| Doing Business As | BLONDIE'S PANTRY LLC |
| Entity Type | Organization |
| Authorized Contact | EMILY WAGNER Dietitian/Owner 914-419-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2018-01-05 |