| NPI | 1780298257 |
|---|---|
| Former Legal Business Name | LAURA YOUR DIETITIAN LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA CRESTA Registered Dietitian 215-779-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |