Provider Demographics
NPI:1043440076
Name:DUTTON, CONSTANCE TRANDAFIR (ND)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:TRANDAFIR
Last Name:DUTTON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:530 LOMAS SANT FE DRIVE
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075
Mailing Address - Country:US
Mailing Address - Phone:425-802-5462
Mailing Address - Fax:858-755-8959
Practice Address - Street 1:8950 COSTA VERDE BLVD
Practice Address - Street 2:#4326
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1176
Practice Address - Country:US
Practice Address - Phone:425-802-5462
Practice Address - Fax:858-755-8959
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAND358175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath