Individual
KASEY L DANFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1054
ME
133V00000X
Registered Dietitian
DN0043
PA
Other
Enumeration date
01/05/2011
Last updated
12/22/2011
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