Individual
JESSICA G. ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
14207 HIGGINS RD, SAN ANTONIO, TX 78217-1252
(210) 826-4492
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 643-6792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
968469
TX
Other
Enumeration date
04/13/2007
Last updated
03/19/2010
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