Individual
ANN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
731 E SOUTHLAKE BLVD, SUITE 130, SOUTHLAKE, TX 76092-6377
(817) 424-2606
Mailing address
731 E SOUTHLAKE BLVD, SUITE 130, SOUTHLAKE, TX 76092-6377
(817) 424-2606
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00545
TX
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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