| NPI | 1508634627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA-LOURDES NICHOLS Office/Administrative Manager 360-550-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |