Individual
APRIL VAUGHN SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCN
Contact information
Practice address
5856 NUGGET WAY, DUBLIN, CA 94568-7145
(925) 276-0686
Mailing address
PO BOX 525, PLEASANTON, CA 94566-0052
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851806686
STATE OF CALIFORNIA
CA
Enumeration date
02/26/2021
Last updated
02/26/2021
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