| NPI | 1982376919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOHN SCHUEPFER Registered Dietitian Nutritionist 346-298-2933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-10-23 |