| NPI | 1770138091 |
|---|---|
| Former Legal Business Name | LYNISE PERRY NUTRITION |
| Entity Type | Organization |
| Authorized Contact | LYNISE PERRY Nutritionist 630-812-8584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2019-08-04 |