Individual
ANNIE LAINE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
805 N TRINITY ST, DECATUR, TX 76234-1146
(940) 389-8708
Mailing address
805 N TRINITY ST, DECATUR, TX 76234-1146
(940) 389-8708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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