Individual
MRS. CHERYL WALTON GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CDE,CNSD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-2178
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80471
TX
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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