| NPI | 1912513821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ANTHONY CHIAGORO CEO 240-374-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |