Individual
MARY CATHERINE SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 354-7881
Mailing address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
09/13/2013
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