Individual
MARIE ANTOINETTE PATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1100 COMMERCE STREET, USDA, SOUTHWEST REGIONAL OFFICE, DALLAS, TX 75242-0000
(214) 290-9889
(214) 767-5522
Mailing address
1222 COMMERCE ST, APT 701, DALLAS, TX 75202-4302
(860) 884-5184
(214) 767-5522
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
000556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000556
STATE NUTRITIONIST LICENS
CT
Enumeration date
05/24/2007
Last updated
07/08/2007
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