NPI | 1659788909 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIA ISAC MITCHELL Registered Dietitian 703-389-6612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DC D1100000386) |
Enumeration Date | 2014-07-18 |
Last Update Date | 2014-07-18 |