Individual
MS. ATHA LOUISE MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(800) 423-2111
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(800) 423-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06007
TX
Other
Enumeration date
10/26/2006
Last updated
07/12/2007
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