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Individual

MISS PATRICIA CLESCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(347) 285-0704
Mailing address
2218 STRATTON LN APT 12103, ARLINGTON, TX 76006-5543

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86214
TX
133VN1301X
Oncology Nutrition Registered Dietitian
DT86214
TX

Other

Enumeration date
06/08/2023
Last updated
06/08/2023
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