| NPI | 1811158025 |
|---|---|
| Former Legal Business Name | MASTERS IN DIETETICS, L.L.C |
| Entity Type | Organization |
| Authorized Contact | TABITHA LOUISE LENOX Owner 844-532-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT80655) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2024-05-08 |