| NPI | 1003512146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOKIKO H PARKER Owner 210-724-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-06-02 |