Individual
MRS. DEBORAH LUCIENNE NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, CNSD
Contact information
Practice address
2315 STOCKTON BLVD, RM 0102, SACRAMENTO, CA 95817-2201
(916) 703-3110
(916) 703-3118
Mailing address
399 MUNICIPAL DR, SACRAMENTO, CA 95838-2061
(916) 703-3110
(916) 703-3118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
852990
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009054
PI
CA
Enumeration date
12/15/2005
Last updated
07/08/2007
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