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Individual

AMY M BRAGLIA-TARPEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., R.D., CSR

Contact information

Practice address
280 CAGNEY LN, #301, NEWPORT BEACH, CA 92663-2674
(949) 278-4558
(949) 278-4558
Mailing address
280 CAGNEY LN, #301, NEWPORT BEACH, CA 92663-2674
(949) 278-4558
(949) 271-5062

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
898072
CA
133NN1002X
Nutrition Education Nutritionist
898072
CA
133V00000X
Registered Dietitian
Primary
898072
CA
133VN1005X
Renal Nutrition Registered Dietitian
898072
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
898072
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
06/11/2007
Last updated
07/03/2012
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