Provider Demographics
NPI:1912214255
Name:FAIRFIELD, ELIZABETH CIUFFINI (RD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CIUFFINI
Last Name:FAIRFIELD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:CIUFFINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:5276 HOLLISTER AVE
Mailing Address - Street 2:SUITE 151
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2073
Mailing Address - Country:US
Mailing Address - Phone:805-450-3079
Mailing Address - Fax:
Practice Address - Street 1:5276 HOLLISTER AVE
Practice Address - Street 2:SUITE 151
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2073
Practice Address - Country:US
Practice Address - Phone:805-450-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA705952133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered