| NPI | 1720495476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A LEONARD Owner 304-233-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WV 471) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: WV 471) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |