Individual
MRS. KRYSTLE MCCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
619 RIDINGATE FARM, SAN ANTONIO, TX 78228-6608
(210) 842-5578
Mailing address
619 RIDINGATE FARM, SAN ANTONIO, TX 78228-6608
(210) 842-5578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1137
ND
133V00000X
Registered Dietitian
Primary
DT82103
TX
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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