| NPI | 1881080935 |
|---|---|
| Doing Business As | EXECUTIVE HEALTH & SPORTS CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL S BENTON Owner 603-624-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NH 0706) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |