Healthcare Provider Details

I. General information

NPI: 1598904609
Provider Name (Legal Business Name): JULIA FAITH SNELL R.D., L.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA FAITH PHEND R.D., L.D., M.S.

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 12/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MAIN ST
SOLEDAD CA
93960-2533
US

IV. Provider business mailing address

576 SOLEDAD ST
SOLEDAD CA
93960-2518
US

V. Phone/Fax

Practice location:
  • Phone: 831-678-2665
  • Fax: 831-678-0776
Mailing address:
  • Phone: 831-710-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: