Individual
TANYA DIAN BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
101 SKAGGS RD, SUITE 302, BRANSON, MO 65616-2075
(417) 334-8288
(417) 334-6966
Mailing address
101 SKAGGS RD, SUITE 302, BRANSON, MO 65616-2075
(417) 334-8288
(417) 334-6966
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
200600098278
MO
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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