Individual
KA PUI ELIZA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 E 6TH ST, ODESSA, TX 79761-4527
(432) 582-8381
Mailing address
520 E 6TH ST,, ODESSA REGIONAL MEDICAL CENTER, ODESSA, TX 79761
(432) 582-8381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82194
TX
Other
Enumeration date
07/09/2012
Last updated
06/06/2013
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