Individual
BRAD BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 TINA DR, HOLLIDAYSBURG, PA 16648-9701
(814) 505-7076
Mailing address
106 TINA DR, HOLLIDAYSBURG, PA 16648-9701
(814) 505-7076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006844
PA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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