| NPI | 1801092895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L SIMMONS Owner Operator Licensed Practitione 949-515-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133N00000X Nutritionist (Licence: CA HHP040902) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA LAC AC3606) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |