| NPI | 1831569680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELKYS M GERONIMO Nutritionist Ll 510-535-2965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 642175) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |