| NPI | 1740673011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JACOB BANMAN President 805-642-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 881077) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |