Individual
PRISCILLA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
276 SHEPHERDS CROOK, HELOTES, TX 78023-2541
(210) 904-6957
Mailing address
276 SHEPHERDS CROOK, HELOTES, TX 78023-2541
(210) 904-6957
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84286
TX
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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