Individual
MARIA FERNANDA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1101 CAMINO LA COSTA, AUSTIN, TX 78752-3930
(512) 478-4939
Mailing address
14120 JAMES GARFIELD ST, MANOR, TX 78653-4129
(956) 465-7531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86297630
COMMISSION ON DIETETIC REGISTRATION
—
01
—
DT87691
LICENSED DIETITIAN- TDLR
TX
Enumeration date
07/22/2022
Last updated
08/02/2022
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