Individual
MR. DEMETRIUS JERMAINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, MS, RD, LD, CPT
Contact information
Practice address
225 E SONTERRA BLVD, SAN ANTONIO, TX 78258-3992
(210) 477-2799
Mailing address
6422 MERLIN WAY, SAN ANTONIO, TX 78233-4661
(121) 048-5841
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81138
TX
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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