Individual
MARIBETH HAVRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-6150
(316) 759-1304
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3506
(316) 759-6150
(316) 759-1304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1091
KS
Other
Enumeration date
07/27/2006
Last updated
07/10/2023
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