Individual
LIZETTE TABOADA-VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(833) 882-2737
Mailing address
11715 OAK KNOLL DR, AUSTIN, TX 78759-3830
(512) 897-0193
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
960797
TX
Other
Enumeration date
03/08/2007
Last updated
09/11/2024
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