| NPI | 1790221489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BAUMANN Registered Dietitian / Owner 360-265-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 000708) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |