| NPI | 1962005058 |
|---|---|
| Doing Business As | FULFILLED NUTRITION THERAPY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RACHAL Owner 318-532-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |