Individual
RYAN T BAD HEART BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1455 E 3RD AVE APT E113, LONGMONT, CO 80501-8720
(612) 816-6474
Mailing address
1455 E 3RD AVE APT E113, LONGMONT, CO 80501-8720
(612) 816-6474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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