NPI | 1881925428 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS T ANDERSON Owner 270-901-3412 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 163W00000X Registered Nurse |
174400000X Specialist | |
Enumeration Date | 2010-01-21 |
Last Update Date | 2020-02-19 |