Individual
CRESCENT ARLENE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MS, CSSD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 966-7065
Mailing address
11730 RUSTIC RIDGE CT, SPARKS, NV 89441-7901
(775) 240-9148
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/29/2012
Last updated
10/08/2020
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