NPI | 1164849832 |
---|---|
Former Legal Business Name | LIFEQUALITY, INC |
Entity Type | Organization |
Authorized Contact | MICHELLE MISSY PORTEOUS President 951-317-7657 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 814382) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2022-03-22 |