Individual
MIKAYLAN GERZSENYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6396 SAILS ST, FORT WORTH, TX 76179-1863
(816) 739-0054
Mailing address
6396 SAILS ST, FORT WORTH, TX 76179-1863
(816) 739-0054
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86552
TX
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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