| NPI | 1407147473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE DALENE MILLER Chief Executive Officer 310-462-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CA 133N00000X) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |