Individual
MRS. LINDA JO DOUGLAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 263-7361
Mailing address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 263-7361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00788
TX
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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