Branch, Detria Latasha

Branch, Detria Latasha is an sole proprietor health care provider with primary practice located at 10208 Bon Aire Dr , El Paso TX 79924-2936. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Health Educator, Ambulatory Health Care Facilities / Genetics, Ambulatory Health Care Facilities / Health Service. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Branch, Detria Latasha can be contacted via phone (888) 474-4486.

Contact Information

Primary practice address
10208 Bon Aire Dr El Paso TX 79924-2936
Phone: (888) 474-4486
Fax: (915) 301-9251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD2023085 New Mexico
Other Service Providers / Health Educator 174H00000X
Ambulatory Health Care Facilities / Genetics 261QG0250X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT88116 Texas

Profile Details

NPI number 1790300259
LBN Legal business name Branch, Detria Latasha
Credentials MS, RDN, RHNC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2020
Last updated Jun 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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