Individual
MRS. DIANE WATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
108 ROCKWOOD DR, SOUTH CHINA, ME 04358-5023
(207) 623-8411
(207) 621-7315
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R389868
REGISTERED DIETITIAN NUMB
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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