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Individual
MS. CHANEL NICOLE SUARES
Active
Individual
MS. CHANEL NICOLE SUARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86029129
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
86029129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86029129
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
10/08/2014
Last updated
02/27/2024
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