Individual
MRS. PRISCILLA BALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3333 N MESA ST, EL PASO, TX 79902-2031
(915) 494-2486
Mailing address
3333 N MESA ST, EL PASO, TX 79902-2031
(915) 494-2486
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81597
TX
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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