Individual
FALLON BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
139 BEAR HEAD CANYON RD UNIT B, JEMEZ PUEBLO, NM 87024-0776
(908) 670-2348
Mailing address
31 CEDAR HILL PL NE, ALBUQUERQUE, NM 87122-1906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NDP-2024-0036
NM
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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