Individual provider · NPI-1

Bella R Blaylock

Nutritionist · Carlsbad, CA

NPI number1467368274
StatusActive
Last updated in NPPESAug 21, 2026

Details

NPI
1467368274
Entity type
Individual (NPI-1)
Name
Bella R Blaylock
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 21, 2026
Certification date
Aug 20, 2026
Last updated
Aug 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist–CAYes

Practice location

1207 Carlsbad Village Dr Ste N
Carlsbad, CA 92008-1958

Phone 760-717-2630

Mailing address

3185 Sandy Pl
Carlsbad, CA 92008-1139

Phone 760-717-2630

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