NPI | 1083487649 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH GOODRIDGE Owner 650-954-7946 |
Organization Subpart ? | No |
Primary Taxonomy | 133VN1301X Dietitian, Registered, Nutrition, Oncology |
Additional Taxonomies | 133V00000X Dietitian, Registered |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-11-03 |