DR. Holly Marie Bundrant, PH.D., R.D., L.D.N.
NPI #1174640494 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1174640494
- Entity Type
- Individual
- Name
- DR. Holly Marie Bundrant, PH.D., R.D., L.D.N.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- PH.D., R.D., L.D.N.
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Sep 15, 2011
Practice Location
- Address
- 225 N. WILLOW AVE.
- Address 2
- WILLOW AVE. PROFESSIONAL COMPLEX
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501
- Phone
- (931) 528-1617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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