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Individual
MRS. BRANDY MICHELLE MSALL
Active
Individual
MRS. BRANDY MICHELLE MSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX3487
MD
133V00000X
Registered Dietitian
Primary
86019915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86019915
DIETITIAN
VA
Enumeration date
11/06/2013
Last updated
11/06/2013
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