Individual
ADRIANA KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12209 ALCANZA DR, AUSTIN, TX 78739-1961
(512) 550-4849
Mailing address
12209 ALCANZA DR, AUSTIN, TX 78739-1961
(512) 550-4849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82718
TX
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT0013
—
AK
05
—
DT82718
—
TX
Enumeration date
05/25/2010
Last updated
06/11/2019
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