Individual
MS. AMANDA JEAN ESQUIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1155 S TELSHOR BLVD STE 301, LAS CRUCES, NM 88011-4757
(575) 649-0073
Mailing address
C/O BBP SERVICES LLC, 1180 COMMERCE DR UNIT 13880, LAS CRUCES, NM 88013-4636
(575) 649-0073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT83980
TX
133V00000X
Registered Dietitian
Primary
LD-1050
NM
Other
Enumeration date
04/29/2020
Last updated
01/20/2022
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