| NPI | 1326463456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE MARCHAND Manager 386-547-8695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 136A00000X Dietetic Technician, Registered (Licence: FL ND6383) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |