| NPI | 1992446181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEVAN CPO 919-449-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |