Individual
MR. TEODORO PAGULAYAN CRISTOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD,LD
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
(334) 725-2516
Mailing address
706 RUSTIC ST, OPELIKA, AL 36801-3447
(334) 727-0550
(334) 725-2516
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1096
AL
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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