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Individual

JESSICA VARELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
5202 AUBURN ST APT 524, LUBBOCK, TX 79416-1462
(949) 677-9964
Mailing address
5202 AUBURN ST APT 524, LUBBOCK, TX 79416-1462
(949) 677-9964

Taxonomy

Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
DT86265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86067948
PRIVATE PRACTICE
TX
01
DT86265
PRIVATE PRACTICE
TX
Enumeration date
01/07/2020
Last updated
01/07/2020
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