Individual
MARY ELIZABETH SANTAROSA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1322 COTULLA DR, ALLEN, TX 75013-4639
(408) 655-4386
Mailing address
1322 COTULLA DR, ALLEN, TX 75013-4639
(408) 655-4386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86654
TX
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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