Individual
CHRISTINA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 IMPERIAL PL, PROVIDENCE, RI 02903-4638
(508) 431-5181
Mailing address
130 MOUNT PLEASANT AVE, PROVIDENCE, RI 02908-3942
(916) 316-2257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00819
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410007
HOSPITAL MEDICARE ID
RI
Enumeration date
05/21/2015
Last updated
10/23/2025
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