Individual
MADELINE MAHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
7777 FOREST LN STE C240, DALLAS, TX 75230-7515
(972) 566-7113
Mailing address
2975 BLACKBURN ST APT 1517, DALLAS, TX 75204-3476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT90905
TX
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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