Individual
MISS MACALLISTER BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
(309) 714-8197
Mailing address
6355 VELASCO AVE, DALLAS, TX 75214-3343
(309) 714-8197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87967
TX
Other
Enumeration date
04/18/2024
Last updated
05/07/2024
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