Individual
MARISSA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
100 W DEAN KEETON ST, CAMPUS MAIL A3900, AUSTIN, TX 78712
(512) 471-4955
Mailing address
100 W DEAN KEETON ST, CAMPUS MAIL A3900, AUSTIN, TX 78712
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
03/21/2024
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