| NPI | 1417793068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMREN LEI ERIKSEN Registered Dietitian Nutritionist 334-405-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-04-02 |