| NPI | 1902824071 |
|---|---|
| Doing Business As | MARTHA JEFFERSON NUTRITIONAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M BURRIS VP/CFO 434-654-7305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-03-23 |