| NPI | 1437594470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA A WELLS Owner 267-222-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA DN003871) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |