Individual
JULIE ANN CORPUZ BUCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
9939 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-1900
(210) 706-7800
Mailing address
9939 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-1900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
10/25/2025
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