Provider Demographics
NPI:1487107892
Name:PINDER, EUGENIA ARIADNE (MCD, RD)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:ARIADNE
Last Name:PINDER
Suffix:
Gender:F
Credentials:MCD, RD
Other - Prefix:
Other - First Name:EUGENIA
Other - Middle Name:ARIADNE
Other - Last Name:BEZZERIDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCD, RD
Mailing Address - Street 1:16897 PLACER HILLS RD
Mailing Address - Street 2:
Mailing Address - City:MEADOW VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:95722-9531
Mailing Address - Country:US
Mailing Address - Phone:530-878-4828
Mailing Address - Fax:
Practice Address - Street 1:16897 PLACER HILLS ROAD
Practice Address - Street 2:
Practice Address - City:MEADOW VISTA
Practice Address - State:CA
Practice Address - Zip Code:95722
Practice Address - Country:US
Practice Address - Phone:530-878-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA958120133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered