Individual
ARACELI VAZQUEZ NUTRITION AND VIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1221 ABRAMS RD STE 210, RICHARDSON, TX 75081-5578
(972) 664-0846
Mailing address
514 RAVEN DR, MURPHY, TX 75094-3907
(972) 664-0846
(972) 744-0726
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01309466
AMERIGROUP
TX
05
—
2043127-01
—
TX
05
—
2043127-02
—
TX
01
—
613657
MEDICARE PTAN
TX
Enumeration date
04/17/2008
Last updated
09/15/2023
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