Individual
MRS. KARA (RAE) RAE BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
630 N KIMBALL AVE STE 110, SOUTHLAKE, TX 76092-6887
(972) 422-9180
Mailing address
400 CHISHOLM PL, PLANO, TX 75075-6938
(972) 422-9180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85489
TX
Other
Enumeration date
08/22/2011
Last updated
04/24/2024
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