Individual
EMMA ELAINE SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2935 BASELINE RD STE 302, BOULDER, CO 80303-2367
(720) 315-0051
Mailing address
256 MCCASLIN BLVD APT 205, LOUISVILLE, CO 80027-2921
(435) 770-5887
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86110547
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86110547
RDN NUMBER
CO
Enumeration date
08/05/2019
Last updated
08/05/2019
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