Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 22826 | CA |
NPI | 1427359058 |
---|---|
Provider Name | Dr. Deborah Lee Barton |
First Address | Ripon, CA 95366-2926 |
Second Address | Ripon, CA 95366-2926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2010 |
Last Update Date | 12/11/2010 |