| NPI | 1477205433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON SERAMUR HALL Co Owner 571-291-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-04-12 |