NPI | 1487318374 |
---|---|
Other Name | SHINE NUTRITION |
Entity Type | Organization |
Authorized Contact | CARRIE SUE SCHIMMELPFENNIG Owner 812-320-5535 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-10-26 |