Individual
JACQUELINE TIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
411 PARK GROVE DR, KATY, TX 77450-1574
(713) 997-9613
Mailing address
3007 WINSLOW ST, HOUSTON, TX 77025-2638
(915) 526-8367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87009
TX
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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