| NPI | 1447772835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OFELIA BAYUTAS MUTIA Registered Dietitian Nutritionist 623-888-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 002082) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |