Individual
TIFFANY BRUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
667 W ENT AVE, COLORADO SPRINGS, CO 80914-1606
(219) 863-6846
Mailing address
667 W ENT AVE, COLORADO SPRINGS, CO 80914-1606
(219) 863-6846
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86007315
IN
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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