Provider Demographics
NPI:1316488042
Name:BELL, DEBORAH (NUTRITIONIST)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 ROYAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-5022
Mailing Address - Country:US
Mailing Address - Phone:707-372-7106
Mailing Address - Fax:
Practice Address - Street 1:462 ROYAL OAKS DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5022
Practice Address - Country:US
Practice Address - Phone:707-372-7106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133N00000XDietary & Nutritional Service ProvidersNutritionist