| NPI | 1750602074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEFRAIN CEO 949-874-3438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2012-02-24 |