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Organization

DAVITA CKD DIETITIANS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON MANICHE (MANAGER OF SPECIAL PROJECTS)
(303) 941-7463
Entity
Organization

Contact information

Practice address
2000 16TH ST, JLD/SECGOVFIN, DENVER, CO 80202-5117
(303) 876-6438
Mailing address
601 HAWAII ST, JLD/SECGOVFIN, EL SEGUNDO, CA 90245-4814

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018836
CO

Other

Enumeration date
04/01/2016
Last updated
04/01/2016
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