Individual
MS. ANASUYA BASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC, DIPL. ABT, CST
Contact information
Practice address
10 WILLIAMSBURG LN STE B, CHICO, CA 95926-2297
(510) 848-8439
Mailing address
PO BOX 609, FOREST RANCH, CA 95942-0609
(510) 848-8439
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
174H00000X
Health Educator
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104192
CALIFORNIA MASSAGE THERAPY BOARD ID
CA
01
—
20055
NATIONAL ASSOCIATION OF NUTRITION PROFESSIONALS PROF MEMBER ID
CA
01
—
2467
AMERICAN ORGANIZATION OF BODYWORK THERAPIES OF ASIA MEMBER ID
—
01
—
24833
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MED, DIPL. ABT
—
Enumeration date
07/23/2018
Last updated
07/23/2018
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