Individual
CAROLINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4712 COLE AVE APT 1111, DALLAS, TX 75205-5535
(210) 912-7333
Mailing address
4712 COLE AVE APT 1111, DALLAS, TX 75205-5535
(210) 912-7333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114811
TX
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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