Individual
JADE TUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-6218
(214) 456-6287
Mailing address
6128 LLANO AVE, DALLAS, TX 75214-3316
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT81984
TX
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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