Individual
CARLOS SERVANDO TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RLD
Contact information
Practice address
5709 SPRINGFIELD AVE, LAREDO, TX 78041-3282
(956) 728-1769
Mailing address
5709 SPRINGFIELD AVE, LAREDO, TX 78041-3282
(956) 728-1769
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81217
TX
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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