Individual
REBECCA HANSEN-QUIGGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1518 OVERLOOK DR, GRAPEVINE, TX 76051-6640
(817) 524-8820
Mailing address
1518 OVERLOOK DR, GRAPEVINE, TX 76051-6640
(817) 524-8820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717836
TX
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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