| NPI | 1568692135 |
|---|---|
| Doing Business As | ELITE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MISHELL RONICA BROOKINS President 617-522-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |