| NPI | 1437941069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MACHADO Owner/Operator 559-269-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335G00000X Medical Foods Supplier |
| Additional Taxonomies | 174200000X Meals |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |