Organization
AE NUTRITION FOR HEALTH LLC AIDA GONZALEZ RD LD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA GONZALEZ RD,LD (DIETITIAN)
(956) 570-7703
Entity
Organization
Contact information
Practice address
3311 N WARE RD STE 10, MCALLEN, TX 78501-7867
(956) 570-7703
Mailing address
2704 BAYLOR AVE, MCALLEN, TX 78504-5538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
—
Enumeration date
11/03/2017
Last updated
07/21/2022
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