Provider Demographics
NPI:1114544426
Name:DUNCAN, QUANTA DAWN (RDN)
Entity Type:Individual
Prefix:MS
First Name:QUANTA
Middle Name:DAWN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 HUTCHINS HILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2821
Mailing Address - Country:US
Mailing Address - Phone:734-417-9688
Mailing Address - Fax:
Practice Address - Street 1:3644 HUTCHINS HILL DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-2821
Practice Address - Country:US
Practice Address - Phone:734-417-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered