Mary Ann Fuller, RD LD

NPI #1013113133 in Lake Dallas, Texas

Provider Information

NPI Number
1013113133
Entity Type
Individual
Name
Mary Ann Fuller, RD LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD LD
Enumeration Date
Jun 25, 2007
Last Updated
Aug 4, 2015

Practice Location

Address
415 SPRINGTREE RD
State
Texas
ZIP Code
75065-2392
Phone
(214) 725-9702

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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