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Individual

CRYSTAL ANN BERTRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,LD

Contact information

Practice address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530
Mailing address
2090 S OHIO ST, SALINA, KS 67401-6702
(785) 825-8221
(785) 452-7530

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1262
KS
133VN1006X
Metabolic Nutrition Registered Dietitian
1262
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201069820A
KS
Enumeration date
06/25/2008
Last updated
04/01/2020
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