IndividualActive
Aston Dommel
NPI 1336890466 · Pediatric Nutrition Registered Dietitian · Fort Bragg, NC
Provider details
- NPI number
- 1336890466
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3013 (AL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2817 Reilly St
Fort Bragg, NC 28310-7394
Phone: (910) 907-7136
Approximate (ZIP-level) locationGet directions
Mailing address
1620 12th St S Apt D
Birmingham, AL 35205-5929
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.