Individual
JACQUELINE S CARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
13214 LOMA VALLEJO, SAN ANTONIO, TX 78233-2418
(402) 429-3543
(210) 579-6489
Mailing address
13214 LOMA VALLEJO, SAN ANTONIO, TX 78233-2418
(402) 429-3543
(210) 579-6489
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DT81640
TX
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT81640
TX
133VN1006X
Metabolic Nutrition Registered Dietitian
DT81640
TX
Other
Enumeration date
12/01/2006
Last updated
08/15/2013
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