| NPI | 1821776311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYSA ANDERSON-CARDWELL Owner/Rdn 385-722-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| 133N00000X Nutritionist | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |