Individual
MRS. DEBORAH BONNELL HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
2701 4TH AVE S, BIRMINGHAM, AL 35233-2707
(205) 251-8676
Mailing address
2701 4TH AVE S, BIRMINGHAM, AL 35233-2707
(205) 776-8567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1123
AL
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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