| NPI | 1306453006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MAY MESA Registered Dietitian 805-870-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2022-06-08 |