PHYLLIS BERGIE-MOORE

SANTA ROSA, CA
NPI1164669792
Former NamePHYLLIS VAUGHN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1006X Dietitian, Registered Nutrition, Metabolic
Enumeration Date2009-01-20
Last Update Date2010-04-29
Business Address
PHYLLIS BERGIE-MOORE RD
144 STONY POINT RD
SANTA ROSA, CA 95401-4122
Phone number: 707-521-4649
Mailing Address
PHYLLIS BERGIE-MOORE RD
144 STONY POINT RD
SANTA ROSA, CA 95401-4122
Phone number: 707-521-4649
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