Individual
JILL MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN,LD,CDE
Contact information
Practice address
920 HILLCREST DR, VERNON, TX 76384-3196
(940) 553-2862
(940) 553-2967
Mailing address
4208 DRIFTWOOD DR, WICHITA FALLS, TX 76309-1011
(940) 704-2853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02529
TX
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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