| NPI | 1285920355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON REBECCA PACK Owner 703-282-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX2732) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |