ELIZABETH DANOWSKY BASHAM MS, RD
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1295139327- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS, RD
- Status
- Active
Contact & Location
- Address
- 3806 CANEY CREEK RD, AUSTIN, TX, 787322246
- Phone
- (808) 859-4788
Specialties & Taxonomies
Dietitian, Registered
License: IL #164.010140
Dietitian, Registered
Primary License: IA #953628