Individual
MISS MAYRA SOFIA OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1001 RONE DR STE 2, WESLACO, TX 78596-5043
(956) 600-3475
Mailing address
401 S. 10TH ST. BOX 4605, HIDALGO, TX 78557
(956) 340-9290
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88674
TX
Other
Enumeration date
12/04/2023
Last updated
01/24/2024
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