Organization
RADISHING RECOVERY NUTRITION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLETTE SHAWN RD, LD (OWNER, REGISTERED DIETITIAN)
(469) 454-0213
Entity
Organization
Contact information
Practice address
9535 FOREST LN, DALLAS, TX 75243-5900
(469) 454-0213
Mailing address
1508 FLAMINGO DR, ARLINGTON, TX 76012-5513
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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