| NPI | 1841797131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEE MOELLER Registered Dietitian 805-714-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: WA 992809) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |