AMBER IVIE

FORT WORTH, TX
NPI1487182622
Former NameAMBER UPDEGRAFF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT84727)
Enumeration Date2017-06-01
Last Update Date2022-07-21
Business Address
AMBER IVIE RDLD
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
Mailing Address
AMBER IVIE RDLD
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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