Individual
DANIELLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
750 E NORTHERN AVE, UNIT 1041, PHOENIX, AZ 85020-4161
(309) 472-4191
Mailing address
750 E NORTHERN AVE, UNIT 1041, PHOENIX, AZ 85020-4161
(309) 472-4191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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