Individual
MRS. STACEY MATTINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
4777 CEDAR SPRINGS RD APT 2J, DALLAS, TX 75219-1276
(469) 450-4073
Mailing address
4777 CEDAR SPRINGS RD APT 2J, DALLAS, TX 75219-1276
(469) 450-4073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83374
TX
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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