NPI | 1710632393 |
---|---|
Doing Business As | FAMILY FIRST NUTRITION |
Entity Type | Organization |
Authorized Contact | KAYLEN JACKSON Owner/Lead Dietitian 612-306-1939 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2022-02-13 |
Last Update Date | 2022-02-13 |