| NPI | 1114895026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE MEYER Manager 360-499-3259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1101X Dietitian, Registered, Nutrition, Gerontological |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |