Individual
MS. DEBORAH LAUREL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDES
Contact information
Practice address
13043 SEAGROVE ST, SAN DIEGO, CA 92130-3204
(858) 449-5110
Mailing address
13043 SEAGROVE ST, SAN DIEGO, CA 92130-3204
(858) 449-5110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
721932
—
163WD0400X
Diabetes Educator Registered Nurse
21410548
CA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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