NPI | 1255585444 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE NYHAGEN ADAMS Owner 802-859-1577 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VT 0740000186) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2008-11-14 |