Individual
VERDALEEN DENETDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD/RD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0847
NM
Other
Enumeration date
12/06/2011
Last updated
05/19/2021
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