Whalio Doctors

NPI 1588385132

Brenda Lee Roundtree, NDTR

Practitioner Registered Dietetic Technician Gilbert, AZ

Practice location

Address
3103 E Country Shadows St, Gilbert, AZ 85298-9026
Phone
(602) 853-6927

Registered specialties (3)

Registered Dietetic Technician Primary
Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1085276 (AZ)
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 1085276 (AZ)
Nutrition Education Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133NN1002X Licence 1085276 (AZ)

Registry record

NPI
1588385132
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Sep 2022
Record last updated
12 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.