Vivian Lea Brengard R.D.

NPI 1093054645 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093054645
Gender Female
Enumeration Date 02/01/2013
Last Updated 02/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
2801 MEDICAL CENTER DR
POCAHONTAS AR, 72455-9436, US
Phone (870) 892-6000
Fax (870) 892-6259
Business Location
2801 MEDICAL CENTER DR
POCAHONTAS AR, 72455-9436, US
Phone (870) 892-6000
Fax (870) 892-6259
Toxanomy
Taxonomy Code 133V00000X
License State Arkansas
License Number 1172
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According to our database, Vivian Lea Brengard R.D. NPI is 1093054645, taxonomy code is 133V00000X and license number is 1172, license state is located at Arkansas. Vivian Lea Brengard R.D. physically located at 2801 Medical Center Dr, Pocahontas AR, 72455-9436. NPI Number Vivian Lea Brengard R.D. has the Individual type.

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1093054645 NPI number is provided on an as is basis without warranty of any kind. 1093054645 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Lea Brengard R.D. are for informational purposes only.