Individual
JUAN JESUS TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
3640 PENCIL STICK DR, RIO GRANDE CITY, TX 78582-9301
(956) 735-0105
(956) 486-2720
Mailing address
3640 PENCIL STICK DR, RIO GRANDE CITY, TX 78582-9301
(956) 735-0105
(956) 486-2720
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00874957
TX
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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