Individual
MRS. ELIZABETH ANN BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2110 DOYLE DR, BERTHOUD, CO 80513-9576
(970) 566-1880
Mailing address
2110 DOYLE DR, BERTHOUD, CO 80513-9576
(970) 566-1880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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