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SANDRA BRINKLEY RD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1306086590

Individual Registrant:
 SANDRA  BRINKLEY RD
Gender: F
Sole Proprietor

Location and contact information for practice:
2954 WHEATLAND RD  FINCASTLE, VA 24090-4361 US
Tel: 540-354-7769  Fax: --

Contact information for business:
2954 WHEATLAND RD  FINCASTLE, VA 24090-4361 US
Tel: 540-354-7769  Fax: --

Registration Information:
NPI: 1306086590
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
VA811521

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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