NPI | 1417410069 |
---|---|
Doing Business As | A BALANCED LIFE RX |
Entity Type | Organization |
Authorized Contact | JENNIFER LITTAU Registered Dietitian Nutritionist 703-217-9284 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-06-11 |