Andrea Lynn Bode Vann, MS RD LD Valid NPI
Individual provider · Registered Dietitian · Texarkana, TX
- NPI
- 1821328899
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- DT80323 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-01-13
- Last updated
- 2010-01-13
Practice location
2600 Saint Michael Dr
Texarkana, TX 75503-5220
(903) 614-5322