Individual provider · NPI-1

Eugene Bramble

Nutritionist · Houston, TX

NPI number1093326910
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1093326910
Entity type
Individual (NPI-1)
Name
Mr. Eugene Bramble
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 13, 2020
Certification date
Oct 1, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133N00000X Nutritionist––Yes

Practice location

1628 Summer City Dr
Houston, TX 77047-3418

Phone 909-455-7479

Mailing address

1628 Summer City Dr
Houston, TX 77047-3418

Phone 909-455-7479

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