| NPI | 1972815827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL VILLACORTA Sole Proprietor/Registered Dieitian 415-398-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 439198) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |