NPI | 1487985099 |
---|---|
Doing Business As | LITE FOR LIFE OF BOCA RATON |
Entity Type | Organization |
Authorized Contact | JODI MCCARTY President 561-826-5483 |
Organization Subpart ? | No |
Primary Taxonomy | 133N00000X Nutritionist (Licence: CA N/A) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2010-05-27 |