Individual
MRS. BRENDA LEE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.RDN.LDN.
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1948
(304) 526-8817
Mailing address
2199 COUNTY ROAD 69, PROCTORVILLE, OH 45669-8947
(304) 544-4005
(304) 526-8817
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
169
WV
133V00000X
Registered Dietitian
2263
OH
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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