Individual
REBECCA BRIDGEFARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WHITNEY DR, NEVADA, TX 75173-8344
(214) 808-8710
Mailing address
415 WHITNEY DR, NEVADA, TX 75173-8344
(214) 808-8710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87638
TX
Other
Enumeration date
04/06/2019
Last updated
05/18/2022
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