Individual
MARISSA GREGUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4525 GUADALUPE ST APT 207, AUSTIN, TX 78751-3097
(979) 209-9104
Mailing address
4525 GUADALUPE ST APT 207, AUSTIN, TX 78751-3097
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86176279
REGISTERED DIETITIAN
—
01
—
DT87342
LICENSED DIETITIAN
TX
Enumeration date
06/28/2022
Last updated
06/28/2022
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