| NPI | 1356714059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ELLIOTT EVANS Clinical Dietitian; CEO 804-339-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 925537) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |