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Individual

HOLLY NEESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4521 SOUTHGATE DR, PLANO, TX 75024-2138
(469) 693-7400
Mailing address
4521 SOUTHGATE DR, PLANO, TX 75024-2138
(469) 693-7400

Taxonomy

Speciality
Code
Description
License number
State
133VN1101X
Gerontological Nutrition Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123456789
TX
Enumeration date
04/01/2020
Last updated
04/01/2020
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