| NPI | 1992029409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DIETZ Owner/Dietitian 434-548-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: VA 862411) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2024-04-18 |