| NPI | 1588321558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON HICKMAN Owner 757-894-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |