| NPI | 1134648421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY EATON COSTELLO Co Owner 603-391-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0844) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 4235) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-10-06 |