Individual
DANIELLE HAWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
1450 E BELL RD APT 1008, PHOENIX, AZ 85022-2751
(224) 415-0153
Mailing address
1450 E BELL RD APT 1008, PHOENIX, AZ 85022-2751
(224) 415-0153
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86173598
AZ
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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