Individual
ELIZABETH DANOWSKY BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3806 CANEY CREEK RD, AUSTIN, TX 78732-2246
(808) 859-4788
Mailing address
2486 AKEPA ST, PEARL CITY, HI 96782-1070
(808) 849-4788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.010140
IL
133V00000X
Registered Dietitian
Primary
953628
IA
Other
Enumeration date
10/17/2014
Last updated
08/13/2024
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