Doctor Name: | RITA HARDY-WHITE |
NPI Number: | 1154453603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,CDE,LD |
License Number: | ND3231 |
Business Practice Address: | 2521 Nw 39th Ter #204 Lauderdale Lakes, FL - 333111017 |
Business Phone Number: | 9548029502 |
Business Fax Number: | 9547173790 |
Mailing Address: | 2521 Nw 39th Ter, #204 LAUDERDALE LAKES |
State: | FL |
Postal Code: | 333111017 |
Phone Number: | 9548029502 |
Fax Number: | 9547173790 |
NPI Enumeration Date: | 03/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | ND3231 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |