| NPI | 1427426477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE D JEFFRIES Provider/Owner 206-578-5843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: WA AHY718654003) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |