Individual
MRS. REGINA MASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEDRD, RDN, LDN
Contact information
Practice address
714 CHAPEL VIEW RD, WACO, TX 76712-8183
(254) 717-1483
Mailing address
714 CHAPEL VIEW RD, WACO, TX 76712-8183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
817191
TX
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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