Individual
MARY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
595 PACIFIC AVE, SAN FRANCISCO, CA 94133-4681
(415) 800-2311
Mailing address
3967 CHEROKEE BLVD, NEW BRAUNFELS, TX 78132-5088
(361) 877-6507
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88445
TX
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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