Individual
MACKENZIE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3724 JEFFERSON ST, AUSTIN, TX 78731-6225
(512) 693-7045
Mailing address
405 W 9TH ST, HOUSTON, TX 77007-1521
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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