Individual
JAELYN VIOLA MARIE BRANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1520 TRAMWAY BLVD NE, ALBUQUERQUE, NM 87112-4655
(505) 266-6121
Mailing address
1020 CENTRAL AVE SW APT 223, ALBUQUERQUE, NM 87102-4554
(505) 917-2406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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