Individual
MRS. LESLIE KAY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
425 RIDGETOP BND, CEDAR PARK, TX 78613-7479
(512) 468-5822
Mailing address
425 RIDGETOP BND, CEDAR PARK, TX 78613-7479
(512) 468-5822
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07637
TX
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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