Individual
AILEEN VERA-TRINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 CRENSHAW AVE, FORT WORTH, TX 76105-4233
(217) 799-9418
Mailing address
4309 CRENSHAW AVE, FORT WORTH, TX 76105-4233
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86265104
TX
171400000X
Health & Wellness Coach
—
TX
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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