| NPI | 1184480824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY LEMIEUX Rd/Owner 802-379-1023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-11-19 |