| NPI | 1962768754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY YACYNYCH Practice Manager 814-299-4676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: PA dn002166) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |