Individual
SUSAN K IVESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1901 E PALM VALLEY BLVD, ROUND ROCK, TX 78664-9421
(512) 694-6923
Mailing address
4131 SPICEWOOD SPGS STE L4, AUSTIN, TX 78759-8652
(512) 694-6923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT01314
TX
Other
Enumeration date
06/29/2009
Last updated
04/18/2013
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