| NPI | 1265885529 |
|---|---|
| Former Legal Business Name | THE FEARLESS FORK LLC |
| Entity Type | Organization |
| Authorized Contact | MARYBETH JUDY President 207-752-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-11-28 |