Individual
LAURA MELISSA SEPULVEDA-STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3189
(512) 346-6611
(512) 406-7315
Mailing address
12617 DRINGENBERG DR, AUSTIN, TX 78729-7784
(210) 216-2994
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83113
TX
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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