NPI | 1225648397 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE JEAN BARBOZA Fitness & Nutrition Specialist 774-379-9761 |
Organization Subpart ? | No |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Additional Taxonomies | 305S00000X Point of Service |
Enumeration Date | 2020-08-04 |
Last Update Date | 2020-08-04 |