| NPI | 1780071738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHON LYNETTE POWELL Certified Licensed Nutritionist 301-466-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: MD DX3766) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-17 |