| NPI | 1689194250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Of Finance 907-729-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AK 20467) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |