Individual
MRS. AURELIA VIDAL SAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. RD. LD.
Contact information
Practice address
5490 GREENBRIAR LN, BEAUMONT, TX 77706-7347
(409) 454-0636
Mailing address
5490 GREENBRIAR LN, BEAUMONT, TX 77706-7347
(409) 454-0636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81491
TX
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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