Individual
AMANDA ROSE BRAINERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1614 15TH AVE, DE WITT, IA 52742-1087
(563) 221-1315
Mailing address
12605 VENTURA BLVD # 1024, STUDIO CITY, CA 91604-2415
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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