Individual
MS. DIXIE RHODES HAVLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1822 BLACK LAKE BLVD SW, SUITE 102-C, OLYMPIA, WA 98512-5628
(360) 357-1410
(360) 357-1410
Mailing address
1613 CAMDEN CIR SW, OLYMPIA, WA 98512-5552
(360) 357-1410
(360) 357-1410
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000195
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7660020
—
WA
Enumeration date
11/08/2006
Last updated
07/08/2007
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