Individual
MS. ROSETTA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6015 PORT ANADARKO TRL, HERMITAGE, TN 37076-3117
(615) 885-1922
(615) 885-1922
Mailing address
6015 PORT ANADARKO TRL, HERMITAGE, TN 37076-3117
(615) 885-1922
(615) 885-1922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C31
—
TN
Enumeration date
11/10/2015
Last updated
11/10/2015
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