Organization
GROWING NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA THEIMER RDN, LD, CDE (REGISTRED DIETITIAN)
(325) 277-5469
Entity
Organization
Contact information
Practice address
1608 W TEXAS AVE, MIDLAND, TX 79701-6559
(432) 695-4729
Mailing address
1700 CULVER DR, MIDLAND, TX 79705-8301
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82766
TX
Other
Enumeration date
09/19/2017
Last updated
03/17/2018
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