Individual
KRYSTAL DENISE ANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MICHELLE DR, DEL RIO, TX 78840-2624
(830) 765-5447
Mailing address
112 MICHELLE DR, DEL RIO, TX 78840-2624
(830) 765-5447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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