| NPI | 1225796055 |
|---|---|
| Doing Business As | THE DETOXOLOGOIST NURSE |
| Entity Type | Organization |
| Authorized Contact | ANGELA LEE Manger 424-535-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |