| NPI | 1871333021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL NGUYEN Registered Dietitian / Owner 731-334-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-07-02 |