| NPI | 1831433457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MAE RODRIGUES Owner 215-348-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: PA DN003090) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |