NPI | 1619209152 |
---|---|
Other Name | SUSAN DELAGRANGE SOLE MBR |
Entity Type | Organization |
Authorized Contact | SUSAN LYNN DELAGRANGE Registered Dietitian 260-433-3367 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 910521) |
Enumeration Date | 2010-02-09 |
Last Update Date | 2010-03-15 |