NPI | 1366839979 |
---|---|
Doing Business As | THE DELICIOUS DIETITIAN |
Entity Type | Organization |
Authorized Contact | AMBER L. HOUSTON Vice President Administration 251-767-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AL 076850) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2015-04-21 |