Individual
MRS. JOAN GREEN VANICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1901 S 1ST ST, CTVHCS, NFS 120T, TEMPLE, TX 76504-7451
(254) 743-1999
Mailing address
1901 VETERANS MEMORIAL DR, CTVHCS, NFS 120T, TEMPLE, TX 76504-7451
(800) 423-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03130
TX
Other
Enumeration date
08/12/2006
Last updated
07/24/2007
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