Individual
TENIA BRIANNE BENGTSON
Active
Individual
TENIA BRIANNE BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT, NUTRITIONIST
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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