Individual
CHEYANNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP
Contact information
Practice address
504 W 43RD ST, AUSTIN, TX 78751-4214
(936) 697-4523
Mailing address
504 W 43RD ST, AUSTIN, TX 78751-4214
(936) 697-4523
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
5325
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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