Individual
MR. BRANDON L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-1464
Mailing address
PO BOX 545, WINDFALL, IN 46076-0545
(765) 480-3477
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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