Individual
MARY DUTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9415 BROADWAY ST STE 121, PEARLAND, TX 77584-8094
(832) 691-9906
(346) 502-3585
Mailing address
3250 PEBBLE BEACH LN, PEARLAND, TX 77584-7108
(832) 691-9906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87871
TX
Other
Enumeration date
07/15/2022
Last updated
02/14/2023
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