| NPI | 1205379401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL BORDOGNA Registered Dietitian 574-276-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L003347) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |