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Individual

ATLANTA MACKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
2115 STEPHENS PL STE 400B, NEW BRAUNFELS, TX 78130-2167
(210) 439-1714
(830) 730-5652
Mailing address
743 CAMBRIDGE DR, NEW BRAUNFELS, TX 78132-4333
(210) 439-1714
(830) 730-5652

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86780
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DT86780
LICENSE
TX
Enumeration date
02/11/2021
Last updated
02/11/2021
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