Individual
MS. GAY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CCN
Contact information
Practice address
1510 BRAEBURN DR, RICHARDSON, TX 75082-3038
(800) 692-9711
Mailing address
1510 BRAEBURN DR, RICHARDSON, TX 75082-3038
(800) 692-9711
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4318
OH
133V00000X
Registered Dietitian
Primary
DT07610
TX
133V00000X
Registered Dietitian
L001495
NC
133V00000X
Registered Dietitian
ND4912
FL
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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