Individual
CLARICE MICHELLE MCDANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
428 CENTENNIAL PKWY, TYLER, TX 75703-7166
(903) 266-5900
Mailing address
1138 NATE CIR, BULLARD, TX 75757-1213
(619) 534-5436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88015
TX
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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