Individual
MICHELE ANAYA VELOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5111 CANYON DR, AMARILLO, TX 79110-3037
(806) 212-0577
(806) 212-0563
Mailing address
5111 CANYON DR, AMARILLO, TX 79110-3037
(806) 212-0577
(806) 212-0563
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85875
LICENSURE
TX
Enumeration date
03/14/2019
Last updated
03/14/2019
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