| 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 |