Individual
RENEE CHRISTINE WANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0694
Mailing address
4600 ROSS AVE APT 105, DALLAS, TX 75204-4917
(412) 216-2445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11933225
TX
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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