Individual
MARY LYNN VASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2901 N 4TH ST, LONGVIEW, TX 75605-5128
(903) 232-3810
Mailing address
215 E RUSK ST, MARSHALL, TX 75670-3443
(903) 938-7611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT03384
TX
Other
Enumeration date
04/08/2006
Last updated
10/21/2011
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