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Individual

MISS JOHANNA BARRENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(512) 258-8625
Mailing address
10905 CATTHORN CV, AUSTIN, TX 78759-4690
(512) 258-8625

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80224
TX

Other

Enumeration date
02/19/2007
Last updated
07/08/2007
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