Doctor Name: | MRS. KIM BELINDA MASON |
NPI Number: | 1255527925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 42 Summit St Virginia City, NV - 89440 |
Business Phone Number: | 7754458882 |
Business Fax Number: | 7758883220 |
Mailing Address: | Po Box 1062, VIRGINIA CITY |
State: | NV |
Postal Code: | 894401062 |
Phone Number: | 7754458882 |
Fax Number: | 7758883220 |
NPI Enumeration Date: | 09/17/2007 |
NPI Last Update Date: | 09/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |