Individual
ASHLEY MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-2188
Mailing address
12464 GREY TWIG DR, FORT WORTH, TX 76244-5546
(817) 726-5753
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80292
TX
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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