Individual
ALEXANDRIA CONCEPCION CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9542 CANTURA CRST, SAN ANTONIO, TX 78250-1719
(210) 387-3383
Mailing address
9542 CANTURA CRST, SAN ANTONIO, TX 78250-1719
(210) 387-3383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86290
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86119534
REGISTRATION ID NUMBER
TX
01
—
DT86290
LICENSED DIETITIAN
TX
Enumeration date
12/09/2019
Last updated
12/09/2019
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