Individual
MOLLY BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(260) 403-1591
Mailing address
4522 DENALI CV, FORT WAYNE, IN 46845-9117
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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