Provider Demographics
NPI:1740650423
Name:SOBEL, BARBARA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SOBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ALTA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1315
Mailing Address - Country:US
Mailing Address - Phone:415-250-0080
Mailing Address - Fax:
Practice Address - Street 1:53 ALTA VISTA AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1315
Practice Address - Country:US
Practice Address - Phone:415-250-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist