Most Relevant Information
Provider Data
| NPI Number: | 1003057639 |
| Provider Name: | DENISE K HACKMAN RD, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DN000682 |
Most Important Dates
| Enumeration Date: | 03/11/2009 |
| Last Updated: | 03/11/2009 |
Provider Practice Location
100 N ACADEMY AVE
DANVILLE
PA
178229800
Practice Location Phone/Fax
| Phone: | 5702715332 |
| Fax: |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178229800
Provider Mailing Phone/Fax
| Phone: | 5702715332 |
| Fax: |