| NPI | 1902664626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER ANDRES PANCHANA Registered Dietitian Nutritionist 305-200-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |