Individual
MR. JEREMY FREDERICK BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(715) 526-7968
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7968
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1888
MA
Other
Enumeration date
05/14/2008
Last updated
10/05/2023
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