Individual
LIZLETTE QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2821 MICHAELANGELO DR STE 102B, EDINBURG, TX 78539-1411
(956) 362-5650
(956) 362-2599
Mailing address
PO BOX 2646, MCALLEN, TX 78502-2646
(956) 362-5650
(956) 362-2574
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86049766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352435701
—
TX
Enumeration date
05/12/2015
Last updated
11/13/2023
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