| NPI | 1649569336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JULSTEDT COFFEE Registered Dietitian 817-366-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT81448) |
| Enumeration Date | 2011-04-03 |
| Last Update Date | 2011-04-03 |