Individual
MAYRA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
19141 STONE OAK PKWY STE 603, SAN ANTONIO, TX 78258-3375
(415) 342-1194
Mailing address
4601 DE ZAVALA RD APT 828, SAN ANTONIO, TX 78249-2010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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