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Individual

TENIA BRIANNE BENGTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT, NUTRITIONIST

Contact information

Practice address
1499 W 120TH AVE STE 110, WESTMINSTER, CO 80234-2719
(720) 403-6553
(720) 710-1308
Mailing address
12108 MELODY DR APT 204, WESTMINSTER, CO 80234-2116
(720) 403-6553
(720) 707-1640

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
PHAT.0010237
CO
133NN1002X
Nutrition Education Nutritionist
PHAT.0010237
CO
183700000X
Pharmacy Technician
PHAT.0010237
CO

Other

Enumeration date
01/30/2024
Last updated
02/29/2024
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