Individual
AISHA LISETTE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
590 MEDICAL CENTER ROAD, 2ND FLOOR, WETLANDS, SUITE A, FORT CAVAZOS, TX 76544
(254) 553-4463
Mailing address
590 MEDICAL CENTER ROAD, FT CAVAZOS, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88685
TX
Other
Enumeration date
10/03/2023
Last updated
10/23/2023
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