Individual
JESSICA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
835 SONORA LN, GRAND PRAIRIE, TX 75052-3135
(469) 544-6655
Mailing address
835 SONORA LN, GRAND PRAIRIE, TX 75052-3135
(469) 544-6655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84843
TX
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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