Most Relevant Information
Provider Data
| NPI Number: | 1003388430 |
| Provider Name: | BRETA ALSTROM RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/25/2018 |
| Last Updated: | 10/22/2019 |
Provider Practice Location
107 W 9TH ST FL 2
KANSAS CITY
MO
641051705
Practice Location Phone/Fax
| Phone: | 8163387851 |
| Fax: |
Provider Mailing Location
107 W 9TH ST FL 2
KANSAS CITY
MO
641051705
Provider Mailing Phone/Fax
| Phone: | 8163387851 |
| Fax: |