Individual
MRS. BLANCA A VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3210 LOOP 20, SUITE 5, LAREDO, TX 78043-5009
(956) 508-4279
Mailing address
PO BOX 7022, LAREDO, TX 78042-7022
(956) 508-4279
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80864
TX
Other
Enumeration date
10/14/2010
Last updated
10/26/2010
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