Doctor Name: | MRS. AMANDA LYN DENTON |
NPI Number: | 1770577355 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD, MS, CHES |
License Number: | 877905 |
Business Practice Address: | 3551 Roger Brooke Dr Jbsa Ft Sam Houston, TX - 782344504 |
Business Phone Number: | 2109163656 |
Business Fax Number: | 2109161991 |
Mailing Address: | 505 Thoreau Trl, SCHERTZ |
State: | TX |
Postal Code: | 781541158 |
Phone Number: | 7076852828 |
Fax Number: | 2109161991 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 877905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |