Dorothy A Bradstock, RD Valid NPI

Individual provider · Pediatric Nutrition Registered Dietitian · Winston Salem, NC

NPI

1306822473

Type

Individual (Type 1)

Primary specialty

Pediatric Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1004X

License number

L000192 (NC)

Sex

Female

Sole proprietor

No

Enumerated

2005-12-20

Last updated

2008-02-08