Individual
GWENDELYN NICOLE CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CNSC
Contact information
Practice address
22026 N 103RD LN, # 353, PEORIA, AZ 85383-2681
(623) 759-1531
Mailing address
8380 W EMILE ZOLA AVE, # 6274, PEORIA, AZ 85381-4811
(623) 759-1531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
966486
CA
Other
Enumeration date
07/18/2007
Last updated
01/25/2016
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