Individual
JATON PANKAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D./L.D.
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 456-4628
(214) 456-6287
Mailing address
15544 BROOKHOLLOW CIR, FORNEY, TX 75126-5200
(214) 417-6335
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80705
TX
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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