Individual
JANNA TRACY PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-5395
(217) 554-4828
Mailing address
721A CLINIC DR, TYLER, TX 75701
(903) 877-5030
Taxonomy
Speciality
Code
Description
License number
State
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
DT85370
TX
Other
Enumeration date
12/04/2015
Last updated
02/04/2021
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