NPI | 1891411294 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MANDERFELD Owner, Registered Dietitian 907-250-2531 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
Enumeration Date | 2022-10-17 |
Last Update Date | 2022-10-17 |