Individual
EMILY NICOLE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
97 EICHNER AVE, KETCHIKAN, AK 99901-9033
(907) 821-1340
Mailing address
5137 SHORELINE DR, KETCHIKAN, AK 99901-9031
(907) 821-1340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
140329
AK
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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