Individual
KRISTINA ISIDORA BEDNORZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDS, RD, LD
Contact information
Practice address
3533 S ALAMEDA, CORPUS CHRISTI, TX 78411-1721
(361) 694-5489
Mailing address
1201 SACRAMENTO, PORTLAND, TX 78374
19564546053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090026
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT82893
LICENSED DIETITIAN
TX
Enumeration date
09/24/2013
Last updated
05/26/2017
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