NPI | 1952672578 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE LYNN BROOKS Dietitian, Cde 806-252-1507 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: TX DT07317) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2012-01-13 |