| NPI | 1134763055 |
|---|---|
| Doing Business As | THE VILLAGE NUTRITIONIST |
| Entity Type | Organization |
| Authorized Contact | JOHN VINCENT LOGOMARSINO Sole Member 352-430-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1101X Dietitian, Registered, Nutrition, Gerontological |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |