Individual
SHELLY MARQUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
22211 I-10 WEST, #1206, SAN ANTONIO, TX 78257
(210) 606-7797
Mailing address
8626 TURNING LEAF, BOERNE, TX 78015-6521
(210) 606-7797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81658
TX
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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