Individual
JENA CAMILLE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5900 BALCONES DR STE 8477, AUSTIN, TX 78731-4257
(512) 763-5141
Mailing address
5900 BALCONES DR STE 8477, AUSTIN, TX 78731-4257
(512) 763-5141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86784
TX
Other
Enumeration date
01/04/2021
Last updated
04/17/2023
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