Individual
JENNIFER NEILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2929 CARLISLE ST, SUITE 200, DALLAS, TX 75204-1084
(214) 348-5557
(214) 348-5898
Mailing address
2929 CARLISLE ST, SUITE 200, DALLAS, TX 75204-1084
(214) 348-5557
(214) 348-5898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05413
TX
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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