Susan Kay Cornett R.D. L.D.

NPI 1720183601 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1720183601
Gender Female
Enumeration Date 09/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 W ROSEDALE ST
FT WORTH TX, 76104-4856, US
Phone (817) 882-6045
Fax (817) 882-6595
Business Location
1414 NEW HAVEN DR
MANSFIELD TX, 76063-3373, US
Phone (817) 473-2170
Fax (817) 882-6595
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT02735
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According to our database, Susan Kay Cornett R.D. L.D. NPI is 1720183601, taxonomy code is 133V00000X and license number is DT02735, license state is located at Texas. Susan Kay Cornett R.D. L.D. physically located at 300 W Rosedale St, Ft Worth TX, 76104-4856. NPI Number Susan Kay Cornett R.D. L.D. has the Individual type.

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1720183601 NPI number is provided on an as is basis without warranty of any kind. 1720183601 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Kay Cornett R.D. L.D. are for informational purposes only.