Individual
JANAE BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-4628
(214) 456-6287
Mailing address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-6287
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
995523
—
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT84104
TX
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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