NPI | 1851102248 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY TYLER BOWEN Founder, Registered Dietitian 681-888-1365 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-01-15 |