| NPI | 1275075210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN ANN BAR-AV Clinical Herbalist & Nutritionist 410-258-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3409) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |