Most Relevant Information
Provider Data
| NPI Number: | 1003177379 |
| Provider Name: | BRENDA KAY JAMES RD/LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 708505 |
Most Important Dates
| Enumeration Date: | 06/04/2012 |
| Last Updated: | 06/12/2013 |
Provider Practice Location
815 E 15TH ST
DOUGLAS
AZ
856071631
Practice Location Phone/Fax
| Phone: | 5203645437 |
| Fax: | 5203644261 |
Provider Mailing Location
1205 F AVE
DOUGLAS
AZ
856071920
Provider Mailing Phone/Fax
| Phone: | 5203641429 |
| Fax: | 5203644261 |