Individual
AMANDA SYLVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6604 NUSSER LN, AUSTIN, TX 78739
(512) 609-9025
Mailing address
5701 W. SLAUGHTER LN, A130-125, AUSTIN, TX 78749
(512) 609-9025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81755
TX
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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