Individual
JACEY CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
(214) 662-1738
Mailing address
6711 PIMLICO DR, DALLAS, TX 75214-1655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82679
TX
Other
Enumeration date
08/12/2019
Last updated
08/20/2019
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