Individual
MACEY LYNN EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 752-6581
Mailing address
1601 SPRING ST APT 68, WACO, TX 76704-3041
(214) 587-9823
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
86102293
TX
Other
Enumeration date
09/29/2020
Last updated
11/17/2020
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