Individual
SUSANNA LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2309 FOLKSTONE WAY, BEDFORD, BEDFORD, TX 76021-7971
(817) 545-3461
Mailing address
PO BOX 831, BEDFORD, BEDFORD, TX 76095-0831
(817) 250-2927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DTO 0993
TX
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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