| NPI | 1699217885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL OVONLEN CEO 402-618-0209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: NE 752) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2016-11-05 |