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Individual

MARY RACHEL BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
3802 HAWTHORNE AVE, DALLAS, TX 75219-2211
(214) 498-1366
Mailing address
3802 HAWTHORNE AVE, DALLAS, TX 75219-2211
(214) 498-1366

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86117172
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
05/20/2022
Last updated
05/20/2022
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