Individual
KLACIE NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
801 W SHAW ST, APT 306, FORT WORTH, TX 76110-4075
(409) 626-4835
Mailing address
801 W SHAW ST, APT 306, FORT WORTH, TX 76110-4075
(409) 626-4835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83698
TX
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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