| NPI | 1427683192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L LOPEZ-PETTORINO Owner, Provider, Single Member LLC 973-206-2130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-10-20 |