| NPI | 1225123730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE VENEZIA VP 502-458-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |