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Individual

SANTIAGO CAPETILLO GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD, LD

Contact information

Practice address
6336 DARLINGTON AVE, COLLEGE STATION, TX 77845-2214
(936) 349-6546
Mailing address
6336 DARLINGTON AVE, COLLEGE STATION, TX 77845-2214
(936) 349-6546

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/21/2023
Last updated
06/21/2023
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