| NPI | 1114390085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ELIZABETH SHANK Registered Dietitian 717-203-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN004553) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |