| NPI | 1609643915 |
|---|---|
| Doing Business As | ALPHA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LESLIE JACKSON-VALLADE Owner/Sole Member 443-519-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |