NPI | 1104450238 |
---|---|
Entity Type | Organization |
Authorized Contact | THEA BOATSWAIN Owner 202-600-9826 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133N00000X Nutritionist |
133NN1002X Nutritionist, Nutrition, Education | |
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
Enumeration Date | 2020-02-27 |
Last Update Date | 2022-10-14 |