Individual
BETTY L THIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2360 E 600 N, WINDFALL, IN 46076-9361
(765) 860-0535
(574) 223-2159
Mailing address
2360 E 600 N, WINDFALL, IN 46076-9361
(765) 860-0535
(574) 223-2159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IN
Other
Enumeration date
09/09/2007
Last updated
09/09/2007
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