Individual
CHANDLER BROOKE BOURFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5301 ALPHA RD STE 80-23, DALLAS, TX 75240-4355
(972) 821-9557
Mailing address
5301 ALPHA RD STE 80-23, DALLAS, TX 75240-4355
(972) 821-9557
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85432
TX
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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