Marcia Fastabend Pell, RD, LD/N, CDE
NPI #1700023959 in Lynn Haven, Florida
Provider Information
- NPI Number
- 1700023959
- Entity Type
- Individual
- Name
- Marcia Fastabend Pell, RD, LD/N, CDE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD, LD/N, CDE
- Enumeration Date
- Jan 9, 2009
- Last Updated
- Feb 24, 2014
Practice Location
- Address
- 2337 JUDSON ST
- City
- Lynn Haven
- State
- Florida
- ZIP Code
- 32444-3018
- Phone
- (850) 867-0336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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|---|---|
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