Individual
MRS. GRACIELA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 354-7881
(806) 468-1502
Mailing address
2702 SWEETGUM LN, AMARILLO, TX 79124-4928
(806) 367-7540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80748
TX
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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