Individual
JUANA MONTELONGO SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-4307
(214) 456-6287
Mailing address
411 BUCKINGHAM RD APT 1127, RICHARDSON, TX 75081-5787
(501) 428-0665
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT83954
TX
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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