Individual
KULSUM RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2800 SHORELINE DR STE 120, DENTON, TX 76210-0130
(940) 383-1240
Mailing address
17322 MEADOW LIGHT DR, RICHMOND, TX 77407-2648
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133V00000X
—
TX
Enumeration date
07/08/2022
Last updated
07/08/2022
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