| NPI | 1477921427 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MELODY BOJANG Registered Dietitian/Owner 469-690-0085 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 2885) | 
| Enumeration Date | 2015-09-08 | 
| Last Update Date | 2020-01-27 |