Individual
AGNES BLACHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
4231 TRAVIS ST APT 19, DALLAS, TX 75205-4873
(630) 824-8351
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86724
TX
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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