Individual
MS. ANITA ROSE THEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 N OAK ST, HEMPHILL, TX 75948-9858
(318) 581-0301
Mailing address
236 BAYSHORE DR, HEMPHILL, TX 75948-1380
(318) 581-0301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05212
TX
Other
Enumeration date
03/15/2013
Last updated
01/18/2024
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