Individual
BLAKE LEEANN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
2350 N STEMMONS FWY, DALLAS, TX 75207-2700
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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