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Individual

KAITLYN ELAINE MACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4410 18TH ST, LUBBOCK, TX 79416-5710
(806) 778-9977
Mailing address
4410 18TH ST, LUBBOCK, TX 79416-5710

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101944
133V00000X
Registered Dietitian
DT85882
TX

Other

Enumeration date
05/16/2022
Last updated
05/16/2022
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