| NPI | 1740172147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS GIBLIN President 814-853-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-18 |