Individual
SUSAN DIANNA MEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
7241 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 236-0007
Mailing address
6101 N RIDGE RD, FORT WORTH, TX 76135-1341
(817) 238-0094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05900
TX
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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