Doctor Name: | MS. REBECCA J. MOORE |
NPI Number: | 1497900278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE, LD |
License Number: | 47 |
Business Practice Address: | 950 E Bogard Rd Suite 207 Wasilla, AK - 996547184 |
Business Phone Number: | 9073572332 |
Business Fax Number: | 9073572344 |
Mailing Address: | 950 E Bogard Rd, Suite 207 WASILLA |
State: | AK |
Postal Code: | 996547184 |
Phone Number: | 9073572332 |
Fax Number: | 9073572344 |
NPI Enumeration Date: | 11/20/2008 |
NPI Last Update Date: | 11/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 47 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |