Individual
JILL MARIE ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSD
Contact information
Practice address
1935 MOTOR ST, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-5532
(214) 456-6287
Mailing address
5304 CARNABY ST APT 214, IRVING, TX 75038-6900
(703) 373-7403
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80285
TX
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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