| NPI | 1114612199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN CHARLES Owner 541-520-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |