Individual
NICOLE CARTER CORNELIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO, LD
Contact information
Practice address
10020 SPRING SHADOWS PARK CIR, HOUSTON, TX 77080-2208
(713) 670-4683
Mailing address
10245 KEMPWOOD DR STE E, HOUSTON, TX 77043-1840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
960271
TX
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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