NPI | 1891410650 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY LEILANI BRESHEARS Owner/Registered Dietitian 808-620-5553 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Enumeration Date | 2022-10-05 |
Last Update Date | 2024-01-05 |