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Individual

KAREN SUE POENISCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D., C.D.E.

Contact information

Practice address
8042 WURZBACH RD STE 230, SAN ANTONIO, TX 78229-3806
(210) 963-6100
(210) 461-5060
Mailing address
12911 WALKING HORSE, HELOTES, TX 78023-4570
(210) 896-0133

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
DT81223
TX
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
583390
IN

Other

Enumeration date
08/10/2009
Last updated
07/07/2022
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