Individual
JOAN BROCKWAY HEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
16043 W LINCOLN ST, GOODYEAR, AZ 85338-2828
(623) 533-1965
Mailing address
16043 W LINCOLN ST, GOODYEAR, AZ 85338-2828
(623) 533-1965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
AZ
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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