Individual
MOLLY W BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
1397 WEIMER RD, HOLY CROSS HOSPITAL, TAOS, NM 87571-6253
(575) 737-3290
(575) 737-3286
Mailing address
1397 WEIMER RD, HOLY CROSS HOSPITAL, TAOS, NM 87571-6253
(575) 737-3290
(575) 737-3286
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
359
NM
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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