| NPI | 1649660549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA M LAJOIE Owner/Registered Dietitian 208-250-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D-682) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2016-02-11 |