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Individual

JONATHAN I CHAPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDN, CSCS

Contact information

Practice address
525 W ELIZABETH ST, BROWNSVILLE, TX 78520-6313
(956) 460-2488
Mailing address
7031 BLUE SPRUCE ST, BROWNSVILLE, TX 78526-3047
(956) 460-2488

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86032606
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
388257302
TX
Enumeration date
05/31/2016
Last updated
11/01/2018
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