| NPI | 1467621383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R MACHA Owner 208-343-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education (Licence: ID D043) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |