| NPI | 1760827984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL AWAD SAMARAH Owner/Operator 810-444-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Additional Taxonomies | 132700000X Dietary Manager |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |