| NPI | 1912203977 |
|---|---|
| Doing Business As | PROACTIVE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CASEY RICHMOND LEHNER President 410-440-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MD DX3548) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2013-09-29 |