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Individual

KIMBERLEY BANDELIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.

Contact information

Practice address
3724 JEFFERSON ST, SUITE 104, AUSTIN, TX 78731-6225
(512) 693-7045
Mailing address
8115 TAHOE PARKE CIR, AUSTIN, TX 78726-4056
(512) 786-7858

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81859
TX

Other

Enumeration date
06/15/2014
Last updated
06/15/2014
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