Individual
MISS TERESA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-2387
Mailing address
3219 SABRINA LN, COPPERAS COVE, TX 76522-3715
(254) 289-0760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80776
TX
Other
Enumeration date
05/31/2009
Last updated
05/31/2009
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