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Organization
VIRTUAL DIETITIAN LLC
Active
Organization
VIRTUAL DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WOOD RDN (DIETITIAN)
(817) 381-8679
Entity
Organization
Contact information
Practice address
971 HILLTOP DR, WEATHERFORD, TX 76086-5845
(817) 602-5909
Mailing address
PO BOX 856, WEATHERFORD, TX 76086-0856
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
07/13/2022
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