Individual
BRIANNA BORGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 GREENLEY RD, CLINICAL NUTRITION, SONORA, CA 95370-5200
(209) 536-5041
Mailing address
13077 BECKWITH RD, UNIT D, SONORA, CA 95370-6946
(209) 536-5041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074895
CO
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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