Individual
ERIN BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115833
CA
136A00000X
Registered Dietetic Technician
86115833
CA
Other
Enumeration date
09/16/2020
Last updated
10/08/2020
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