| NPI | 1124171665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH CANNAVA Licensed Registered Dietitian 781-938-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA 133V00000X) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |