MS. Jo R Havens, D.T.

NPI #1053457663 in Richardson, Texas

Provider Information

NPI Number
1053457663
Entity Type
Individual
Name
MS. Jo R Havens, D.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
D.T.
Enumeration Date
Jan 30, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
1701 N COLLINS BLVD
Address 2
SUITE 100
State
Texas
ZIP Code
75080-3564
Phone
(469) 385-4900

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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