| NPI | 1417318692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDELYN CHAPPELL Manager 954-592-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND5361) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |