| Branz Nutrition Counseling | |
|
787 Sunset Blvd O Fallon IL 62269-1960 | |
| (618) 304-1530 | |
| Not Available |
| Full Name | Branz Nutrition Counseling |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 787 Sunset Blvd, O Fallon, Illinois |
| Authorized Official Name and Position | Erica Leigh Branz (OWNER/DIETITIAN) |
| Authorized Official Contact | 6183041530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branz Nutrition Counseling 1228 Natalyns Trce Lebanon IL 62254-1849 Ph: (618) 304-1530 | Branz Nutrition Counseling 787 Sunset Blvd O Fallon IL 62269-1960 Ph: (618) 304-1530 |
| NPI Number | 1225785561 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225785561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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