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Individual

MS. JEAN MARIE HARNISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-4890
Mailing address
5005 N PIEDRAS ST, WBAMC, EL PASO, TX 79920-5001
(915) 569-1386
(915) 569-4890

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81325
TX

Other

Enumeration date
12/01/2009
Last updated
12/02/2009
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