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 |