Individual
CRISTINA SIFUENTES-AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS,RD,IBCLC
Contact information
Practice address
2645 NALL ST, PORT NECHES, TX 77651-4707
(409) 210-3336
Mailing address
2645 NALL ST, PORT NECHES, TX 77651
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT83900
TX
363A00000X
Physician Assistant
Primary
PA19088
TX
Other
Enumeration date
11/16/2015
Last updated
05/07/2025
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