Individual
JUAN LUIS SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 947-4442
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 847-4442
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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