NPI | 1255680286 |
---|---|
Doing Business As | SUPERIOR SUSTENANCE |
Entity Type | Organization |
Authorized Contact | CHRISTINE WHEELER Owner 480-577-7046 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 990773) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2012-09-05 |