Individual
CAROL BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9363
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-9363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84291
TX
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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