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Contact Information

BRENDA L ROUNDTREE, NDTR
3103 E COUNTRY SHADOWS ST
GILBERT, AZ85298-9026
 Phone: 602-853-6927
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietetic Technician, Registered

136A00000X
 

Nutrition, Education

133NN1002X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for BRENDA L ROUNDTREE · (Female)

NPI # 1588385132
Status Active
Credentials NDTR
Entity Individual
Enumeration date 09/12/2022
Last updated 09/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1085276
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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