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Individual
MS. GENEVIEVE E BROOMFIELD
Active
Individual
MS. GENEVIEVE E BROOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D, L.D., C.S.R.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD001151
GA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD001151
GA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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