Individual
KARA BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2603 JASMINE ST, STEPHENVILLE, TX 76401-1951
(208) 819-3499
Mailing address
2603 JASMINE ST, STEPHENVILLE, TX 76401-1951
(208) 819-3499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87420
TX
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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