Individual
MS. SUZANNE M LE BON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CNSC, CLC
Contact information
Practice address
611 GRANITE ST, PACIFIC GROVE, CA 93950-4014
(831) 641-0576
Mailing address
611 GRANITE ST, PACIFIC GROVE, CA 93950-4014
(831) 641-0576
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
716127
CA
Other
Enumeration date
09/06/2009
Last updated
09/06/2009
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