Susan Roberta Warren, MS,RD,LN,CDE
NPI #1154547115 in Gallup, New Mexico
Provider Information
- NPI Number
- 1154547115
- Entity Type
- Individual
- Name
- Susan Roberta Warren, MS,RD,LN,CDE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- MS,RD,LN,CDE
- Enumeration Date
- Apr 18, 2007
- Last Updated
- May 2, 2016
Practice Location
- Address
- 516 E. NIZHONI BLVD.
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5748
- Phone
- (505) 722-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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