Vasanthi Prabhaker M.S.,R.D.,L.D.N.,CDE

NPI 1730247701 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1730247701
Gender Female
Enumeration Date 12/04/2006
Last Updated 08/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
319 DEVANE ST
FAYETTEVILLE NC, 28305-5202, US
Phone (910) 778-8210
Fax
Business Location
518 MEAD CT
GENEVA IL, 60134-2528, US
Phone (630) 262-0939
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 164.001244
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According to our database, Mrs. Vasanthi Prabhaker M.S.,R.D.,L.D.N.,CDE NPI is 1730247701, taxonomy code is 133V00000X and license number is 164.001244, license state is located at Illinois. Vasanthi Prabhaker M.S.,R.D.,L.D.N.,CDE physically located at 319 Devane St, Fayetteville NC, 28305-5202. NPI Number Vasanthi Prabhaker M.S.,R.D.,L.D.N.,CDE has the Individual type.

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1730247701 NPI number is provided on an as is basis without warranty of any kind. 1730247701 is maintained by the National Plan & Provider Enumeration System. The contents of Vasanthi Prabhaker M.S.,R.D.,L.D.N.,CDE are for informational purposes only.