Individual
MS. DETRIA LATASHA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, RHNC
Contact information
Practice address
10208 BON AIRE DR, EL PASO, TX 79924-2936
(888) 474-4486
(915) 301-9251
Mailing address
10208 BON AIRE DR, EL PASO, TX 79924-2936
(505) 417-0036
(915) 301-9251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
DT88116
TX
133V00000X
Registered Dietitian
LD2023085
NM
174H00000X
Health Educator
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
06/10/2020
Last updated
06/11/2023
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