| NPI | 1609698638 |
|---|---|
| Doing Business As | THE ONLINE DIETITIAN, LLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA C AHLENIUS Registered Dietitian 574-292-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |