Individual
MRS. CYNTHIA D CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
Mailing address
PO BOX 674339, DALLAS, TX 75267-4339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
884561
TX
133V00000X
Registered Dietitian
Primary
DT05680
TX
Other
Enumeration date
03/05/2009
Last updated
07/25/2013
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