Individual
BRANDON L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CSSD
Contact information
Practice address
9005 S BRYERLY CT, HEREFORD, AZ 85615-8419
(520) 249-1599
Mailing address
9005 S BRYERLY CT, HEREFORD, AZ 85615-8419
(520) 249-1599
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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