Individual
MARA PAIGE INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
5509 PLEASANT VALLEY DR STE 70, PLANO, TX 75023-5225
(936) 212-0877
Mailing address
5509 PLEASANT VALLEY DR STE 70, PLANO, TX 75023-5225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85610
TX
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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