Individual
MEGAN DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S. 1ST STREET (NFS 120T), TEMPLE, TX 76501-7451
(254) 743-0360
Mailing address
5102 INVERNESS DR, BRYAN, TX 77802-6095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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