Individual
MRS. CARYL B. FAIRFULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11622 CEMENT HILL RD, NEVADA CITY, CA 95959-9061
(530) 470-0870
(530) 470-0870
Mailing address
11622 CEMENT HILL RD, NEVADA CITY, CA 95959-9061
(530) 470-0870
(530) 470-0870
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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