Individual
STEPHANIE CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 LINDBERG AVE STE B, MCALLEN, TX 78501-2922
(956) 664-1616
(956) 289-4276
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 664-1616
(956) 289-4276
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3445025-01
—
TX
Enumeration date
10/22/2014
Last updated
07/21/2022
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