Individual
MS. CATHERINE TISEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6215 LA COSA DR, DALLAS, TX 75248-4926
(214) 228-9056
Mailing address
6215 LA COSA DR, DALLAS, TX 75248-4926
(214) 228-9056
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80579
TX
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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