Nicole Nabor, RD | |
5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 | |
(714) 323-4499 | |
Not Available |
Full Name | Nicole Nabor |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 5585 E Pacific Coast Hwy Unit 317, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184200917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86013978 (California) | Primary |
Provider Name | Bamboo Nutrition Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164917282 PECOS PAC ID: 4789014986 Enrollment ID: O20200429002902 |
Mailing Address | Practice Location Address |
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Nicole Nabor, RD 5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 Ph: (714) 323-4499 | Nicole Nabor, RD 5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 Ph: (714) 323-4499 |
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