Individual
ADRIEN BOUCHER PACZOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
(888) 423-9961
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
(888) 423-9961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80445
TX
Other
Enumeration date
08/01/2007
Last updated
05/08/2020
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