| NPI | 1760281604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LYNN BOE COO 661-345-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 124Q00000X Dental Hygienist | |
| 133N00000X Nutritionist | |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |