NPI | 1487172888 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA REED Dietitian/Owner 757-255-8796 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2017-09-06 |
Last Update Date | 2023-02-24 |