Individual
MS. JILLIAN MANCHA MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
524 ANASAZI CT, EL PASO, TX 79912-1271
(956) 645-9716
Mailing address
524 ANASAZI CT, EL PASO, TX 79912-1271
(956) 645-9716
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82378
TX
Other
Enumeration date
06/19/2018
Last updated
03/11/2019
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