| NPI | 1336751825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA L GAGNON Director Of Revenue Operations 603-742-5252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 1835N1003X Pharmacist, Nutrition Support | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-04-29 |