Individual
AISHA JAVED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCN, RD, LD
Contact information
Practice address
358 BROOKSTONE DR, LAVON, TX 75166-4747
(469) 442-6099
Mailing address
358 BROOKSTONE DR, LAVON, TX 75166-4747
(469) 442-6099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89153
TX
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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