MEDICARE: CHRISTINE EVE PARISEAU RD

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	RD713156	CA

General Provider Information

NPI Number	:	1891702395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE EVE PARISEAU RD

Provider Business Mailing Address
First Line	:	250 PACIFIC AVE
Second Line	:	#333
City	:	LONG BEACH
State	:	CA
Zip	:	90802-3058
Country	:	US
Telephone Number	:	562-212-2177
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 PACIFIC AVE
Second Line	:	#333
City	:	LONG BEACH
State	:	CA
Zip	:	90802-3058
Country	:	US
Telephone Number	:	562-212-2177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/08/2007

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