Individual
KELLY MARIE TALIAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
6139 AMBLE TRL, SAN ANTONIO, TX 78249-2108
(210) 504-6434
Mailing address
6139 AMBLE TRL, SAN ANTONIO, TX 78249-2108
(940) 367-0613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82599
TX
Other
Enumeration date
02/01/2021
Last updated
04/02/2024
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