Individual
DENISE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
107 WOODBINE PLACE, #775, LONGVIEW, TX 75608
(903) 757-8194
(903) 757-8294
Mailing address
107 WOODBINE PLACE, #775, LONGVIEW, TX 75608
(903) 757-8194
(903) 757-8294
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03790
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004781301
—
TX
05
—
004781302
—
TX
Enumeration date
03/17/2006
Last updated
11/22/2011
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