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Organization

ANITA THEDFORD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA THEDFORD (OWNER)
(318) 581-0301
Entity
Organization

Contact information

Practice address
160 N OAK ST, HEMPHILL, TX 75948-9858
(318) 581-0301
Mailing address
236 BAYSHORE DR, HEMPHILL, TX 75948-1380
(318) 581-0301
(318) 256-2555

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800
LA

Other

Enumeration date
07/02/2013
Last updated
02/06/2024
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  • EDI platform