NPI | 1245556174 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA FERGUS PONDER Dietitian Nutritionist 225-925-5750 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 1957) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2010-04-16 |