NPI | 1669170916 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY HAMMONS Registered Dietitian Nutritionist 318-607-7470 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2023-02-16 |
Last Update Date | 2023-02-16 |