Individual
MRS. LICIA MARLENE CERRATE-REINOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1400 E RIDGE RD, SUITE 7, MCALLEN, TX 78503-1535
(956) 928-0400
(956) 928-0411
Mailing address
1400 E RIDGE RD, SUITE 6, MCALLEN, TX 78503-1535
(956) 928-0400
(956) 928-0411
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178780601
—
TX
Enumeration date
11/25/2006
Last updated
07/15/2008
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