Individual
MAYRA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7457 HARWIN DR STE 324, HOUSTON, TX 77036-2022
(713) 274-8505
Mailing address
11610 GLADEFIELD DR, HOUSTON, TX 77099-2638
(832) 277-8478
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT84494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT84494
—
TX
Enumeration date
07/24/2018
Last updated
07/24/2018
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