Individual
BRIANA LYNN BRUINOOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 LAFAYETTE RD STE 13, PORTSMOUTH, NH 03801-5465
(888) 964-1975
(877) 743-5351
Mailing address
291 ISLINGTON ST, PORTSMOUTH, NH 03801-4217
(603) 897-9340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0935
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86092789
CDR
NH
Enumeration date
02/15/2018
Last updated
05/26/2022
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