Organization
CERTIFIED NUTRITION CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA G BETANCOURT R.D., L.D. (OWNER)
(956) 546-4898
Entity
Organization
Contact information
Practice address
855 W PRICE RD, SUITE 3, BROWNSVILLE, TX 78520-8742
(956) 546-4898
(956) 517-1015
Mailing address
14 RIO CT, BROWNSVILLE, TX 78526-2002
(956) 546-4898
(956) 517-1015
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT05843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150179305
—
TX
Enumeration date
12/26/2012
Last updated
04/23/2013
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