| NPI | 1144722190 |
|---|---|
| Other Name | PEDIATRIC HOME SERVICE DIETICIAN |
| Entity Type | Organization |
| Authorized Contact | CAMEO KAE ZEHNDER Chief Administrative Officer 651-789-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2022-08-03 |