Individual
MS. VISTA-DALE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1448 GROVE PARK DR, APT 211, COLUMBUS, GA 31904-1594
(202) 489-3570
Mailing address
1448 GROVE PARK DR, APT 211, COLUMBUS, GA 31904-1594
(202) 489-3570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004220
GA
Other
Enumeration date
06/06/2015
Last updated
06/06/2015
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