NPI | 1164413654 |
---|---|
Entity Type | Organization |
Authorized Contact | SABRINA J. BRAGG President Owner 256-831-3058 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AL 1510) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2020-08-22 |