Individual
DAWN DENISE BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
924 COUNTY ROAD 3840, BRIDGEPORT, TX 76426-4932
(817) 368-9112
Mailing address
924 COUNTY ROAD 3840, BRIDGEPORT, TX 76426-4932
(817) 368-9112
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83232
TX
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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