| NPI | 1922377423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN REIDENBACH President 260-433-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37000578A) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |