| NPI | 1790404705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TAS Owner/Manager 407-353-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-24 |