| NPI | 1669615951 |
|---|---|
| Former Legal Business Name | WHOLE NUTRITION SERVICES, INC.DBA RENAL NUTRITION SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | SHANNON GREEN Owner 410-877-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD D01526) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2012-08-13 |