Individual
MRS. LAURA L SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
100 NAVIGATOR DR, AUSTIN, TX 78717-4938
(214) 415-7630
Mailing address
100 NAVIGATOR DR, AUSTIN, TX 78717-4938
(214) 415-7630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81191
TX
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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