Individual
CARINA CICLLELY MASCORRO CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN/LD
Contact information
Practice address
203 S WASHINGTON ST, CLEBURNE, TX 76031-5825
(941) 210-9881
Mailing address
203 S WASHINGTON ST, CLEBURNE, TX 76031-5825
(941) 210-9988
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88286
TX
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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