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Individual

DONNA M WHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 417-4994
(520) 417-4979
Mailing address
300 EL CAMINO REAL, SIERRA VISTA, AZ 85635-2812
(520) 417-4994
(520) 417-4979

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13469
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13469
COMMISSION DIETETIC REGIS
OH
Enumeration date
06/15/2006
Last updated
07/09/2007
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