MEDICARE: SILVIA BECERRA WELL NOW NUTRITION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1194573147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVIA BECERRA WELL NOW NUTRITION

Provider Business Mailing Address
First Line	:	1545 N TEXAS ST STE 201
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-5623
Country	:	US
Telephone Number	:	818-745-7438
Fax Number	:

Provider Business Practice Location Address
First Line	:	1545 N TEXAS ST STE 201
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-5623
Country	:	US
Telephone Number	:	818-745-7438
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED DIETITIAN
Name	:	SILVIA BECERRA
Credential	:
Telephone Number	:	818-745-7438

Provider Enumeration Date	:	05/06/2024
Last Update Date	:	11/23/2024

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