| NPI | 1427841014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEL BACKERT Business Owner 209-403-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine Obesity Medicine |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |