Individual
LESLIE THRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4029
Mailing address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4029
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81932
TX
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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