Organization
JANELLE DIETZE LLC
Active
Other names
Apple A Day Nutrition Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE MARIE DIETZE RD CSG LD (MANAGER)
(254) 449-0166
Entity
Organization
Contact information
Practice address
416 N GRAY ST, KILLEEN, TX 76541-5247
(254) 449-0166
Mailing address
5610 GRAPHITE DR, KILLEEN, TX 76542-5358
(254) 449-0166
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07397
TX
Other
Enumeration date
09/19/2008
Last updated
09/19/2008
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