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Individual

MISS REBECCA MARIE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-2225
Mailing address
6300 N MACARTHUR BLVD, APARTMENT # 3007, IRVING, TX 75039-3814
(318) 235-0171

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80195
TX

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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