| NPI | 1609695261 |
|---|---|
| Doing Business As | MIND WELL NUTRITION |
| Entity Type | Organization |
| Authorized Contact | JESSICA SHAFFER Owner 570-772-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |