NPI | 1154552792 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN MICHELLE SMALLWOOD President 206-940-5341 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: WA CH 00034868) |
Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: WA 000436) |
Enumeration Date | 2009-07-30 |
Last Update Date | 2009-07-30 |