Individual
STACIE OLIVARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
215 S REIMER AVE STE 100, SAN MARCOS, TX 78666-5490
(512) 393-8044
Mailing address
13830 WONDERING OAK, SAN ANTONIO, TX 78247-3754
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT82259
TX
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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