Individual
CHRISTIE EASTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(685) 885-6163
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
TX
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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