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Individual

MRS. JANELLE MARIE DIETZE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD CSG LD

Contact information

Practice address
416 N GRAY ST, KILLEEN, TX 76541-5247
(254) 449-0166
Mailing address
5610 GRAPHITE DR, KILLEEN, TX 76542-5358
(254) 449-0166

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07397
TX

Other

Enumeration date
09/19/2008
Last updated
09/19/2008
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