| NPI | 1942628276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE RANDOLPH Owner, Registered Dietitian 405-812-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |