MRS. Kristel June Fredericks, MS, RD, LD

NPI #1003191735 in Longview, Texas

Provider Information

NPI Number: 1003191735
Entity Type: Individual
Name: MRS. Kristel June Fredericks, MS, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD, LD
Enumeration Date: Oct 13, 2011
Last Updated: Jul 31, 2013

Practice Location

Address: 3133 GOOD SHEPHERD WAY
City: Longview
State: Texas
ZIP Code: 75605-7921
Phone: (903) 323-6541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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