| NPI | 1720331457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY JANE MARTEN Owner 715-495-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 1499-29) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |