NPI | 1659782167 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE S. DOUGLAS CEO/Dietitian 253-227-8284 |
Organization Subpart ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: #706866) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2014-05-19 |