NPI | 1265718928 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA WITTKE Owner 770-280-7732 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
Enumeration Date | 2011-10-26 |
Last Update Date | 2011-10-26 |