Individual
REBECCA ROSE BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6376
Mailing address
209 SUNWOOD PARK DR, WAITE PARK, MN 56387-1793
(320) 493-6160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3891
MN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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