| NPI | 1134768393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY J BURCIAGA Functional Nutritionist/Owner 805-888-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |