Individual
TERRA DEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
1017 PORTUGAL DR, STAFFORD, VA 22554-2025
(703) 780-3788
Mailing address
3724 JEFFERSON ST, AUSTIN, TX 78731-6225
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/19/2025
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