NPI | 1174800577 |
---|---|
Entity Type | Organization |
Authorized Contact | SONIA VIEREGGE KENNEDY Owner 910-239-3562 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L001969) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2023-11-30 |