Individual
MRS. BECKY GAIL BRUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
483 W. SEED FARM RD, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
247
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706594
AMERICAN DIATETIC ASSOCIATON
—
Enumeration date
03/19/2012
Last updated
03/26/2014
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