| NPI | 1245771302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHIA PATRICE BATES Owner/ Registered Dietitian 662-378-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MS D1706) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |