NPI | 1952787061 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN ROHAN Practice Manager 714-861-4666 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 963173) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2015-07-31 |