Individual
MRS. HAIDDIE L PRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7500 COCHRANE CIRCLE, EACH MEDDAC NUTRITION CARE DIVISION, FORT CARSON, CO 80913
(719) 526-7973
Mailing address
2608 ORION DR, COLORADO SPRINGS, CO 80906-1021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07580
TX
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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