| NPI | 1790025203 |
|---|---|
| Other Name | AJUVA SPA |
| Entity Type | Organization |
| Authorized Contact | DEBRA J RAVASIA Medical Director 509-465-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: WA M0045314) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |