| NPI | 1245623024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TILLMAN FITZGERALD Nutritionist 425-391-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 020710DI00000858) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |