Individual
MICHAEL ANTWAN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1826 KINGSTON AVE, 220, NORFOLK, VA 23503-2653
(757) 550-5707
Mailing address
1826 KINGSTON AVE., 220, NORFOLK, VA 23503-2661
(757) 550-5707
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
47-3973441
VA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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