Individual
SUE A HAASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4382
(904) 232-2751
Mailing address
128 PATRICK MILL CIR, PONTE VEDRA BEACH, FL 32082-4011
(904) 273-9131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1298
FL
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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