Individual
RHONDA MICHELLE BACCHERINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
4420 HERITAGE TRACE PKWY STE 312, FORT WORTH, TX 76244-8904
(817) 993-6516
(817) 562-4467
Mailing address
12517 AUTUMN LEAVES TRL, FORT WORTH, TX 76244-1139
(817) 705-6017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06398
TX
133VN1005X
Renal Nutrition Registered Dietitian
DT06398
TX
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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