Doctor Name: | DR. MABLE LOUISE EVERETTE |
NPI Number: | 1447331301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED DIETITIAN |
License Number: | 359864 |
Business Practice Address: | 110 S La Brea Ave # 213 Inglewood, CA - 903011768 |
Business Phone Number: | 3106726016 |
Business Fax Number: | 3106724953 |
Mailing Address: | 810 Edgewood St Unit 105, INGLEWOOD |
State: | CA |
Postal Code: | 903026889 |
Phone Number: | 3106738518 |
Fax Number: | 3106732941 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 359864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |