| NPI | 1053509208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY D. DIGREGORIO Registered Dietiitian 805-681-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 944250) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |