| NPI | 1396222527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PANTALONE Authorized Delegate 844-473-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2359) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |