AMANDA ROSE BRAINERD

DE WITT, IA
NPI1992408702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management
Additional Taxonomies133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
AMANDA ROSE BRAINERD RD
1614 15TH AVE
DE WITT, IA 52742-1087
Phone number: 563-221-1315
Mailing Address
AMANDA ROSE BRAINERD RD
12605 VENTURA BLVD # 1024
STUDIO CITY, CA 91604-2415
Phone number: