Individual
MRS. BRENDA MARIE LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 738-5373
Mailing address
2245 W CHEROKEE DR, APPLETON, WI 54914-4755
(920) 738-5373
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1079-029
WI
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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