Individual
MRS. BRANDI LORENE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2178
(214) 456-6287
Mailing address
4413 LAKE HAVEN DR, ROWLETT, TX 75088-8978
(469) 360-7754
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
#DT83314
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
01000691
TX
Other
Enumeration date
02/27/2015
Last updated
07/22/2019
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