Individual
RONDA SISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
307 HIGHLAND RIDGE DR, WYLIE, TX 75098-5016
(972) 835-9839
Mailing address
307 HIGHLAND RIDGE DR, WYLIE, TX 75098-5016
(972) 835-9839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
931860
REGISTERED DIETITIAN
—
Enumeration date
09/13/2006
Last updated
08/24/2019
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