Individual
MRS. DESIREE DE WAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC, BURLINGTON, VT 05401-3456
(802) 847-3203
(802) 847-3607
Mailing address
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC, BURLINGTON, VT 05401-3456
(802) 847-3203
(802) 847-3607
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
074-0000171
VT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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