Doctor Name: | MRS. JANELLE MARIE DIETZE |
NPI Number: | 1477703056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CSG LD |
License Number: | DT07397 |
Business Practice Address: | 416 N Gray St Killeen, TX - 765415247 |
Business Phone Number: | 2544490166 |
Business Fax Number: | |
Mailing Address: | 5610 Graphite Dr, KILLEEN |
State: | TX |
Postal Code: | 765425358 |
Phone Number: | 2544490166 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2008 |
NPI Last Update Date: | 09/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT07397 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |