NPI | 1932630571 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BETH HOUPT Credentialing 517-676-9788 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MI 716504) |
Enumeration Date | 2017-03-24 |
Last Update Date | 2017-03-24 |