Individual
GEORGIA GRACE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
(806) 212-5926
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89735
TX
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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