Individual
JUSTIN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 233-4771
Mailing address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 233-4771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81095
TX
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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