Individual
RAFAELA PAOLA JAESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4708
Mailing address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4708
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT85676
TX
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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