| NPI | 1558125070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA PANGAN Registered Dietitian Nutritionist 563-241-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |