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Individual
AMBER BRUST
Active
Individual
AMBER BRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8358475
—
WA
Enumeration date
09/26/2006
Last updated
05/06/2024
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