Individual
BRENDA J COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.R.D.
Contact information
Practice address
315 HOLTON AVE, SUITE 100, YAKIMA, WA 98902-3254
(509) 248-6292
(509) 248-9134
Mailing address
3303 JEFFERSON AVE, YAKIMA, WA 98902-2242
(509) 248-6292
(509) 248-9134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001934
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001934
STATE LICENSE
WA
Enumeration date
03/27/2007
Last updated
07/08/2007
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