MRS. Tammy Bradford Pennington, RD, CSR, LDN

NPI #1699967471 in Monroe, Louisiana

Provider Information

NPI Number: 1699967471
Entity Type: Individual
Name: MRS. Tammy Bradford Pennington, RD, CSR, LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, CSR, LDN
Enumeration Date: Aug 15, 2007
Last Updated: Aug 15, 2007

Practice Location

Address: 711 WOOD ST
City: Monroe
State: Louisiana
ZIP Code: 71201-7549
Phone: (318) 323-8847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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