| NPI | 1114525078 | 
|---|---|
| Doing Business As | ACTION NUTRITION RD | 
| Entity Type | Organization | 
| Authorized Contact | AVANELLE CANDACE THOMAS Owner 443-877-4537  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services | 
| Enumeration Date | 2020-10-13 | 
| Last Update Date | 2020-10-13 |