NPI | 1174376289 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN HARRIS Owner 336-624-3191 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-04-09 |