Amanda Carole Bratton RD, LD

NPI 1710252440 - Dietitian, Registered - 133VN1006X

NPI Details
NPI 1710252440
Gender Female
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
100 MEDICAL PLZ
SUITE 1203
LAKE ST LOUIS MO, 63367-1366, US
Phone (636) 625-7733
Fax
Business Location
3165 MOSS POINTE DR
SAINT CHARLES MO, 63303-6551, US
Phone (314) 952-5190
Fax
Toxanomy
Taxonomy Code 133VN1006X
License State Missouri
License Number 2009022863
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According to our database, Mrs. Amanda Carole Bratton RD, LD NPI is 1710252440, taxonomy code is 133VN1006X and license number is 2009022863, license state is located at Missouri. Amanda Carole Bratton RD, LD physically located at 100 Medical Plz, Lake St Louis MO, 63367-1366. NPI Number Amanda Carole Bratton RD, LD has the Individual type.

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1710252440 NPI number is provided on an as is basis without warranty of any kind. 1710252440 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Carole Bratton RD, LD are for informational purposes only.