Individual
COLLEEN BRANNEKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(404) 823-5011
Mailing address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(404) 823-5011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003970
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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