Tracy L Bruen, MS, RD, LDN Valid NPI

Individual provider · Registered Dietitian · Lake Jackson, TX

NPI

1609939636

Type

Individual (Type 1)

Primary specialty

Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133V00000X

License number

DT80898 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-12-19

Last updated

2008-12-12