Individual
BRANDI R HENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
4320 DIPLOMACY DRIVE, SUITE 3191, ANCHORAGE, AK 99508-5925
(907) 729-4187
(907) 729-4136
Mailing address
4320 DIPLOMACY DRIVE, SUITE 3191, ANCHORAGE, AK 99508-5925
(907) 729-4187
(907) 729-4136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
162
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT6552
—
AK
Enumeration date
03/12/2007
Last updated
05/20/2011
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