| NPI | 1699499459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL MARGARET VANLUVANEE Owner/Registered Dietitian 910-515-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |