Individual
DAISY ARSENAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2111 COLLEGE DR, GALLUP, NM 87301-5600
(505) 863-1820
(505) 863-1898
Mailing address
1901 RED ROCK DR, GALLUP, NM 87301-5683
(505) 863-1820
(505) 863-1898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0889
NM
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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