Individual
DENISE HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RD/LD, CDE
Contact information
Practice address
201 CEDAR ST SE, SUITE 4660, ALBUQUERQUE, NM 87106-4917
(505) 563-6530
(505) 563-6325
Mailing address
201 CEDAR ST SE, SUITE 4660, ALBUQUERQUE, NM 87106-4917
(505) 563-6530
(505) 563-6325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0947
NM
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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