| NPI | 1134941099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMEON MERTYL Director 862-346-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |