NPI | 1386409217 |
---|---|
Former Legal Business Name | A.M. WADE NUTRITION GROUP LLC |
Entity Type | Organization |
Authorized Contact | ROBERT MARTY COO 412-726-5607 |
Organization Subpart ? | No |
Primary Taxonomy | 174H00000X Health Educator |
Enumeration Date | 2024-02-20 |
Last Update Date | 2025-10-03 |