| NPI | 1851922603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE CROWDER ANDESRON Lead Registered Dietitian 918-899-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |