| NPI | 1063279651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADONNA HOLBROOK-LOWE Department Administrator 951-233-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |