Individual
DOROTHY HAVENS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
748 S NEW ST, SUITES C & D, DOVER, DE 19904-3573
(302) 734-3227
(302) 374-0391
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN0000160
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036065
—
DE
Enumeration date
05/21/2007
Last updated
07/08/2007
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