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Individual

MS. SHEA LAUREN PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
6632 CANYON OAKS CIR, PLANO, TX 75024-7483
(469) 604-2747
Mailing address
6632 CANYON OAKS CIR, PLANO, TX 75024-7483
(469) 604-2747

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86577
TX

Other

Enumeration date
07/27/2020
Last updated
07/27/2020
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