Individual
MRS. AMANDA KATHLEEN FEARHEILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2609 MORAY LN, CEDAR PARK, TX 78613-4346
(512) 745-3946
Mailing address
2609 MORAY LN, CEDAR PARK, TX 78613-4346
(512) 745-3946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80527
TX
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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