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CELINE MARIE FORD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1699390765
Individual Registrant: CELINE MARIE FORD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
737 DOGWOOD BEND MEADOW VISTA, CA 95722 US
Tel: 530-863-3509 Fax: --
Tel: 530-863-3509 Fax: --
Contact information for business:
737 DOGWOOD BEND MEADOW VISTA, CA 95722 US
Tel: 530-863-3509 Fax: --
Tel: 530-863-3509 Fax: --
Registration Information:
NPI: 1699390765
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | CA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
