| NPI | 1730807520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN GEORGE FRISTED Owner/Authorized Official 714-955-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |