Individual
DHAARA ANTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, MPH
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86119679
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86119679
COMMISSION ON DIETETIC REGISTRATION (CDR)
MI
Enumeration date
06/17/2020
Last updated
06/17/2020
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