| NPI | 1689649360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D STREET Dietitian Co Owner Partner 805-445-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 893649) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |