CHARLES EDMUND FTACEK

SAN DIEGO, CA
NPI1386365682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133NN1002X Nutritionist, Nutrition, Education
Enumeration Date2022-09-06
Last Update Date2022-10-18
Business Address
CHARLES EDMUND FTACEK MS, CNS
4078 HAMILTON ST APT 3
SAN DIEGO, CA 92104-6144
Phone number: 615-815-6183
Mailing Address
CHARLES EDMUND FTACEK MS, CNS
4078 HAMILTON ST APT 3
SAN DIEGO, CA 92104-6144
Phone number: 615-815-6183