Individual
CHERYL LEA DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
765 ORANGE ST, ABILENE, TX 79601-5011
(325) 670-4847
Mailing address
2616 S CLACK ST, ABILENE, TX 79606-1557
(325) 690-5131
(325) 690-5228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01099
TX
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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