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Individual

MS. CHERYL BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D., C.D.

Contact information

Practice address
600 EAST BLVD, NUTRITION SERVICES, ELKHART, IN 46514-2483
(574) 294-2621
(574) 296-6584
Mailing address
PO BOX 660376, EGH INSURANCE PAYMENTS, INDIANAPOLIS, IN 46266-0376
(574) 523-3148
(574) 523-3492

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001009A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37001009A
DIETICIAN CERTIFICATION
IN
Enumeration date
12/28/2006
Last updated
10/19/2010
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