Individual
ELLEN THOMSON BAUERSFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
18372 CLARK ST, SUITE 226, TARZANA, CA 91356-3508
(818) 881-9192
(818) 881-0261
Mailing address
18372 CLARK ST, SUITE 226, TARZANA, CA 91356-3508
(818) 881-9192
(818) 881-0261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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