| Nicole Nabor, RD | |
|
5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 | |
| (714) 323-4499 | |
| Not Available |
| Full Name | Nicole Nabor |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5585 E Pacific Coast Hwy Unit 317, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184200917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86013978 (California) | Primary |
| Provider Name | Bamboo Nutrition Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164917282 PECOS PAC ID: 4789014986 Enrollment ID: O20200429002902 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Nabor, RD 5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 Ph: (714) 323-4499 | Nicole Nabor, RD 5585 E Pacific Coast Hwy Unit 317, Long Beach, CA 90804-9553 Ph: (714) 323-4499 |
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