| NPI | 1841044310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAKUMARI MANOHARAN Owner 603-521-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |