Individual
ELIZABETH JANE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
5100 BOLM RD UNIT 312, AUSTIN, TX 78721-3167
(859) 684-0063
Mailing address
5100 BOLM RD UNIT 312, AUSTIN, TX 78721-3167
(859) 684-0063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT89220
TX
133V00000X
Registered Dietitian
ND10962
FL
Other
Enumeration date
01/28/2025
Last updated
09/02/2025
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