Individual
AMITA BHAKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
109 ANGIS LN, LEWISVILLE, TX 75056-5835
(915) 241-0033
Mailing address
109 ANGIS LN, LEWISVILLE, TX 75056-5835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80400
TX
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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