KRISTY DERRICK

SHREVEPORT, LA
NPI1316642572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT0692)
Enumeration Date2023-04-04
Last Update Date2024-02-27
Business Address
KRISTY DERRICK MS,RD,LD,CNSC
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 210-355-9018
Mailing Address
KRISTY DERRICK MS,RD,LD,CNSC
1820 BETH DR
LONGVIEW, TX 75605-2441
Phone number: 210-355-9018
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