Individual
MALLORY J PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1630 E 6TH ST APT 1409, AUSTIN, TX 78702-0054
(720) 438-5289
Mailing address
1630 E 6TH ST APT 1409, AUSTIN, TX 78702-0054
(720) 438-5289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86091025
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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