Individual
MARYANN FANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1736 KATYLAND DR, KATY, TX 77493-1751
(281) 237-6647
(281) 644-1846
Mailing address
1736 KATYLAND DR, KATY, TX 77493-1751
(281) 237-6647
(281) 644-1846
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01214
TX
Other
Enumeration date
01/25/2007
Last updated
07/09/2007
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