NPI | 1740319136 |
---|---|
Entity Type | Organization |
Authorized Contact | CASEY DRAKE PEER Registered Dietitian Owner 865-414-7491 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TN 1095) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2009-02-04 |