Individual
AMANDA RAE DAUGHTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3813 ALLENDALE DR, TYLER, TX 75701-9418
(903) 522-0940
Mailing address
3813 ALLENDALE DR, TYLER, TX 75701-9418
(903) 522-0940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114396
TX
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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