| NPI | 1457932550 |
|---|---|
| Former Legal Business Name | MARIA KENNEDY RD LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA KENNEDY Owner 919-524-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |