Destiny Dawn Anderson, RD, LD, CLC

NPI #1548392988 in Browning, Montana

Provider Information

NPI Number: 1548392988
Entity Type: Individual
Name: Destiny Dawn Anderson, RD, LD, CLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD, CLC
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: HOSPITAL CIRCLE DRIVE
Address 2: BLACKFEET COMMUNITY HOSPITAL
City: Browning
State: Montana
ZIP Code: 59417-0760
Phone: (406) 338-6312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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