GENA BAISA

FORT CAMPBELL, KY
NPI1265046411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT84565)
Enumeration Date2020-09-04
Last Update Date2024-10-02
Business Address
GENA BAISA RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8727
Mailing Address
GENA BAISA RDN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8727