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 |