| NPI | 1487280327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLETTE SHAWN Owner, Registered Dietitian 469-454-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |