Individual
SHARON SUE SWIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
612 S IRENE ST, SAN ANGELO, TX 76903-6629
(325) 658-6571
(325) 653-0036
Mailing address
612 S IRENE ST, SAN ANGELO, TX 76903-6629
(325) 658-6571
(325) 653-0036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04957
TX
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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