Individual
CAROLINE AMANDA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
829 LATTERIDGE DR, AUSTIN, TX 78748-4906
(512) 529-5601
Mailing address
829 LATTERIDGE DR, AUSTIN, TX 78748-4906
(512) 529-5601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82210
TX
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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