Individual
DYLAN ASHTON JAMES RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(888) 683-2778
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(888) 683-2778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86157015
—
133V00000X
Registered Dietitian
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/14/2021
Last updated
10/01/2024
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