Individual
ELORA M BAZANELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1820 PRESTON PARK BLVD STE 2200, PLANO, TX 75093-3614
(972) 926-3683
(972) 920-6765
Mailing address
1820 PRESTON PARK BLVD STE 2200, PLANO, TX 75093-3614
(972) 926-3683
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85504
TX
Other
Enumeration date
01/10/2019
Last updated
03/24/2023
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