| NPI | 1295539849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BURBOA CEO 805-607-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |