Eat Well Live Well INC

NPI #1376865360 in Patchogue, New York

Provider Information

NPI Number
1376865360
Entity Type
Organization
Organization Name
Eat Well Live Well INC
Primary Specialty
Dietitian, Registered
Enumeration Date
Feb 18, 2010
Last Updated
Feb 18, 2010

Practice Location

Address
200 E MAIN ST
ZIP Code
11772-3159
Phone
(631) 689-6528

Authorized Official

Name
GIRIJA S AYYALA, MS, RD, CDN
Title
OWNER
Phone
(631) 689-6528

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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