| NPI | 1083063663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PANGANIBAN Registered Dietitian 909-524-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA 86037189) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |