Individual
GLORIA IVANA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1802 SARA DR APT A, COLLEGE STATION, TX 77845-5860
(804) 982-0002
Mailing address
1802 SARA DR APT A, COLLEGE STATION, TX 77845-5860
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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