| NPI | 1720654015 |
|---|---|
| Former Legal Business Name | VITA DIETITIANS LLC |
| Entity Type | Organization |
| Authorized Contact | JOHANNA ROHLER Principal 317-677-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-04-17 |