| NPI | 1215344239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE IRENE MCMILLAN Nutritionist 301-802-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD N00238) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |