Individual
CANDICE HAYDEN GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILS AVE, LOUISVILLE, KY 40205-2138
(502) 510-2972
Mailing address
1900 SILS AVE, LOUISVILLE, KY 40205-2138
(502) 510-2972
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1762
KY
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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