| NPI | 1952623324 |
|---|---|
| Doing Business As | BREVARD NUTRITION, INC. |
| Entity Type | Organization |
| Authorized Contact | KRISTINE ANN VAN WORKUM President 443-253-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND 5470) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |