| NPI | 1962176032 |
|---|---|
| Other Name | JCW NUTRITION DEPARTMENT |
| Entity Type | Organization |
| Authorized Contact | ANDREW STEIN Owner 781-893-3870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |