Individual
MS. FREIDA DIANE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT, RD, LD
Contact information
Practice address
1650 COCHRANE CIR, USA MEDDAC, ATTN NUTRITION CARE DEPARTMENT, FORT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984
Mailing address
1650 COCHRANE CIR, ATTN CREDENTIALS OFFICE, EVANS ARMY COMMUNITY HOSPITAL USA MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05251
TX
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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