Individual
GILLIAN DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 SAINT CHRISTOPHER LN, DALLAS, TX 75287-6449
(330) 696-5676
Mailing address
4024 SAINT CHRISTOPHER LN, DALLAS, TX 75287-6449
(330) 696-5676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT91354
TX
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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