Provider Demographics
NPI:1689496390
Name:BARR-CABANBAN, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:BARR-CABANBAN
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 1:1407 ELKGROVE CIR APT 1
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-3103
Mailing Address - Country:US
Mailing Address - Phone:516-673-8403
Mailing Address - Fax:
Practice Address - Street 1:1407 ELKGROVE CIR APT 1
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-3103
Practice Address - Country:US
Practice Address - Phone:516-673-8403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education