NPI | 1477067056 |
---|---|
Doing Business As | GOSIMPLE NUTRITION |
Entity Type | Organization |
Authorized Contact | AMINTA BULLARD Owner 240-241-0519 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX4020) |
Enumeration Date | 2017-11-19 |
Last Update Date | 2017-11-19 |