NPI | 1487279014 |
---|---|
Entity Type | Organization |
Authorized Contact | CURTIS EVRARD Owner 773-318-7820 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-06-09 |