Individual
BRIDGET BERNADETTE LATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 645-0078
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(614) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
03493
TX
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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