Individual
JANICE L HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
(209) 521-4081
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
(209) 521-4081
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
403851
CA
133V00000X
Registered Dietitian
Primary
403851
CA
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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