Doctor Name: | MRS. DEBBIE L SNEAD |
NPI Number: | 1689801268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 1172 |
Business Practice Address: | 130 Miranda Rd Warrior, AL - 351804954 |
Business Phone Number: | 2055317486 |
Business Fax Number: | 2053225758 |
Mailing Address: | 130 Miranda Rd, WARRIOR |
State: | AL |
Postal Code: | 351804954 |
Phone Number: | 2055317486 |
Fax Number: | 2053225758 |
NPI Enumeration Date: | 06/22/2009 |
NPI Last Update Date: | 06/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | 1172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |