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Individual

HALEY DIENST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4776
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8423
(802) 388-4776

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1026084
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1026084
DIETETIC REGISTRATION
Enumeration date
06/07/2013
Last updated
06/07/2013
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