| NPI | 1346015492 |
|---|---|
| Former Legal Business Name | NUTRITION BY MARTHA |
| Entity Type | Organization |
| Authorized Contact | ANASTASIA GAVRILETS Registered Dietitian 865-308-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |