| NPI | 1831641950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DORANCE ONEAL Owner/Founder 812-350-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 10172220) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |