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Individual

BRENDA ELOUISE RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
6060 E GREENBRIAR RD W, PEKIN, IN 47165-8205
(812) 276-1933
(186) 638-1609
Mailing address
6060 E GREENBRIAR RD W, PEKIN, IN 47165-8205
(812) 276-1933
(186) 638-1609

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000580A
IN
133V00000X
Registered Dietitian
KY-1743
KY

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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