Individual
ERIN BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
316 S STRATFORD AVE STE B, SANTA MARIA, CA 93454-5908
(805) 332-8446
(805) 332-8173
Mailing address
1400 E CHURCH ST, MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3114
(805) 739-3502
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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