| NPI | 1841793973 |
|---|---|
| Doing Business As | BRAVESPACE NUTRITION |
| Entity Type | Organization |
| Authorized Contact | KATHERINE METZELAAR Owner 302-588-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA 604228023) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |