| NPI | 1710370838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA KAY WIELAND President 571-348-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 708956) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 0001149354) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |