Individual
JENNIFER R CALDERARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
10024 ANAHUAC TRL, AUSTIN, TX 78747-2667
(512) 922-4431
Mailing address
10024 ANAHUAC TRL, AUSTIN, TX 78747-2667
(512) 922-4431
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07232
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00269395
RR/MEDICARE
TX
Enumeration date
04/06/2006
Last updated
09/16/2013
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