Individual
MAYAH ROSE BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
98 SPRUCE ST, DENVER, CO 80230-6921
(314) 435-6479
Mailing address
98 SPRUCE ST, DENVER, CO 80230-6921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86064750
TX
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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