Individual
ANGELA MICHELLE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5020 BOULDER LAKE RD, FORT WORTH, TX 76103-1205
(913) 449-3682
Mailing address
5020 BOULDER LAKE RD, FORT WORTH, TX 76103-1205
(913) 449-3682
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86192
TX
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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