Individual
MRS. DEEYA MARY HAGEN BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-1334
(903) 583-6449
Mailing address
5301 BELLO VISTA DR, SHERMAN, TX 75090-9285
(903) 267-4868
(903) 583-6692
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
658274
—
Other
Enumeration date
08/12/2006
Last updated
09/16/2013
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