| NPI | 1124895024 |
|---|---|
| Doing Business As | JOANNA PUSTILNIK |
| Doing Business As | BODACIOUS NUTRITION LLC |
| Entity Type | Organization |
| Authorized Contact | JOANNA R PUSTILNIK Owner 804-787-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |