Individual
MRS. KANDI DENISE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Contact information
Practice address
2520 E. DUPONT RD, NUTRITION SERVICES, FORT WAYNE, IN 46825
(260) 416-3263
(260) 416-3304
Mailing address
2520 E. DUPONT RD, NUTRITION SERVICES, FORT WAYNE, IN 46825
(260) 416-3263
(260) 416-3304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000663A
IN
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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