Individual
ANDIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 RONE DR STE 2, WESLACO, TX 78596-5043
(956) 844-2960
Mailing address
1001 RONE DR STE 2, WESLACO, TX 78596-5043
(956) 844-2960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1066075
TX
133V00000X
Registered Dietitian
Primary
DT83195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066075
CERTIFICATION
TX
Enumeration date
12/22/2013
Last updated
11/04/2021
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