Individual
EMERSON BARROS VENCESLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15914 IMPERIAL PINE CT, CONROE, TX 77302-2319
(832) 226-2718
Mailing address
15914 IMPERIAL PINE CT, CONROE, TX 77302-2319
(832) 226-2718
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
02/11/2025
Last updated
03/04/2025
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