Individual
MS. GENITA PETRALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMNA
Contact information
Practice address
896 SUMMIT ST, ROUND ROCK, TX 78664-4304
(512) 879-6478
Mailing address
8801 N FM 620 RD APT 114, AUSTIN, TX 78726-3513
(323) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
10116
TX
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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