Individual
STACEY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., RDN/LD
Contact information
Practice address
2827 DURANT DR, MIDLAND, TX 79705-4813
(405) 509-0030
Mailing address
2827 DURANT DR, MIDLAND, TX 79705-4813
(405) 509-0030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86856
TX
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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