Individual
DENISE GOSLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
15525 N 83RD AVE, STE. 104, PEORIA, AZ 85382-5820
(877) 809-5092
Mailing address
15525 N 83RD AVE, STE. 104, PEORIA, AZ 85382-5820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
993100
CA
Other
Enumeration date
03/05/2015
Last updated
07/21/2016
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