| NPI | 1801087473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MARIE WILSON General Manager/Business Owner 804-282-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 163W00000X Registered Nurse (Licence: VA 0001088548) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 0001088548) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |