| NPI | 1245592047 |
|---|---|
| Former Legal Business Name | ANASTASIA CONOVER |
| Entity Type | Organization |
| Authorized Contact | ANASTASIA CONOVER CEO 757-655-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NY 963115) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-08-06 |