Individual
HAVILANDE LODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NC, BCHHP
Contact information
Practice address
3330 E 7TH AVENUE PKWY, DENVER, CO 80206-3919
(402) 612-1009
Mailing address
3330 E 7TH AVENUE PKWY, DENVER, CO 80206-3919
(402) 612-1009
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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