Individual
MACKENZIE ELIZABETH FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
240 BRIGHTON LN, AUSTIN, TX 78737-4523
(973) 476-2344
Mailing address
240 BRIGHTON LN, AUSTIN, TX 78737-4523
(973) 476-2344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86261
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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