Individual
BEVERLY MILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD CDE
Contact information
Practice address
3701 LAVORTON PL, FLOWER MOUND, TX 75022-6708
(972) 724-1885
(203) 547-6492
Mailing address
3701 LAVORTON PL, FLOWER MOUND, TX 75022-6708
(972) 724-1885
(203) 547-6492
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
DT04373
TX
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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