Individual
CONSTANCE HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2520 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 416-3263
Mailing address
15309 ROLLING OAKS PL, LEO, IN 46765-9587
(260) 494-5736
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001055A
IN
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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