| NPI | 1871263863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE T VAN HORN Registered Dietitian Nutritionist 980-292-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |