Individual
ADRIAN SOO BOULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
5251 GASMER DR APT 409, HOUSTON, TX 77035-5730
(903) 880-2325
Mailing address
5251 GASMER DR APT 409, HOUSTON, TX 77035-5730
(903) 880-2325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86146
TX
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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