Individual
ELISA MARIA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
10718 POTRANCO RD, SAN ANTONIO, TX 78251-3312
(855) 481-1149
Mailing address
646 S FLORES ST, SAN ANTONIO, TX 78204-1219
(855) 481-1149
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DT83501
TX
Other
Enumeration date
12/02/2019
Last updated
01/13/2020
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