NPI | 1447061445 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIELLE SMILEY Owner/Principal Dietitian 803-707-4974 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-01-17 |
Last Update Date | 2025-01-17 |