Individual
FELICIA NICOLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
23 DOUGLAS ST, LISBON, ME 04252-1925
(207) 713-6649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1667
ME
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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