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Individual
SUMNER L BROOKS
Active
Individual
SUMNER L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, CSSD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
987508
CA
133V00000X
Registered Dietitian
Primary
LD-D-10169435
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065312
—
WA
05
—
500714219
—
OR
Enumeration date
08/23/2011
Last updated
10/14/2016
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