Janice Brumback, RDN
Dietitian, Registered in Edmond, OK. Individual provider (NPI-1).
NPI number1992462402
StatusActive
Last updated in NPPESNov 26, 2021
Details
- NPI
- 1992462402
- Entity type
- Individual (NPI-1)
- Name
- Janice Brumback
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2021
- Certification date
- Nov 26, 2021
- Last updated
- Nov 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1656 | OK | Yes |
Practice location
1705 Eagle DrEdmond, OK 73034-6071
Phone 405-308-9077
Mailing address
1705 Eagle DrEdmond, OK 73034-6071
Phone 405-308-9077
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