Individual
IVANA MURILLO RASCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(520) 261-1567
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(520) 261-1567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86303344
AZ
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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