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Individual

MS. MARIA VERONICA PRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.D.

Contact information

Practice address
12470 STARCREST DR, APT 817, SAN ANTONIO, TX 78216-8503
(210) 403-2677
Mailing address
12470 STARCREST DR, APT 817, SAN ANTONIO, TX 78216-8503
(210) 403-2677

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
80111
TX
133NN1002X
Nutrition Education Nutritionist
80111
TX

Other

Enumeration date
05/25/2010
Last updated
05/25/2010
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