Individual
KIMBERLY BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4001 W 15TH ST, 350, PLANO, TX 75093-5841
(972) 987-0050
Mailing address
PO BOX 702281, DALLAS, TX 75370-2281
(972) 987-0050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
273552321
TX
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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