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 |