Individual
MS. TRACI LAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2465 FM 1799, MINEOLA, TX 75773-4067
(190) 349-7866
Mailing address
PO BOX 44, GOLDEN, TX 75444-0044
(903) 497-8668
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT82554
TX
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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